Individual
DR. GRANT D. WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1187 E COTTONWOOD LN, SUITE A, CASA GRANDE, AZ 85222-2957
(520) 421-1441
(520) 421-1424
Mailing address
1187 E COTTONWOOD LN, SUITE A, CASA GRANDE, AZ 85222-2957
(520) 421-1441
(520) 421-1424
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4161
AZ
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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