Individual
DR. PHILIP M WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
175 FREEMAN ST, 422, BROOKLINE, MA 02446-3548
(617) 320-9994
Mailing address
175 FREEMAN ST, 422, BROOKLINE, MA 02446
(617) 320-9994
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10353
MA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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