Organization
MARY WALTON DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FOXX (PRACTICE MANAGER)
(919) 249-4900
Entity
Organization
Contact information
Practice address
1505 SW CARY PKWY, STE. 207, CARY, NC 27511-6219
(919) 249-4900
Mailing address
1505 SW CARY PARKWAY, STE 207, CARY, NC 27511
(919) 249-4900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5646
NC
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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