Organization
PEDIATRIC AND ADOLESCENT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LOWELL WALTON DDS (OWNER)
(507) 387-4784
Entity
Organization
Contact information
Practice address
212 STAR ST, MANKATO, MN 56001-4825
(507) 387-4784
(507) 387-4078
Mailing address
212 STAR ST, MANKATO, MN 56001-4825
(507) 387-4784
(507) 387-4078
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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