Individual
MR. CHARLES RICHARD WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
6410 GRELOT RD, MOBILE, AL 36695-2625
(251) 639-0624
(251) 639-0636
Mailing address
6410 GRELOT RD, MOBILE, AL 36695
(251) 639-0624
(251) 639-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3647
AL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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