Derrik Porter Walton, D.D.S.

NPI #1013017136 in Cody, Wyoming

Provider Information

NPI Number
1013017136
Entity Type
Individual
Name
Derrik Porter Walton, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 25, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1525 BLEISTEIN AVE
City
Cody
State
Wyoming
ZIP Code
82414-3806
Phone
(307) 587-2951

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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