Individual
MRS. TABITHA PHILLIPS WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
224 S NEW HOPE RD, GASTONIA, NC 28054-4873
(704) 864-0337
Mailing address
176 POOLES RD, GAFFNEY, SC 29341-2426
(864) 490-9967
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8005
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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