Individual
DR. PATRICK SHAUN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-4504
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(508) 816-6044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2011041494
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27904
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS039066
PA
Other
Enumeration date
12/28/2011
Last updated
09/04/2012
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