Derrik Walton DDS & Darren J. Ruesch Dds, PC

NPI #1154523728 in Cody, Wyoming

Provider Information

NPI Number: 1154523728
Entity Type: Organization
Organization Name: Derrik Walton DDS & Darren J. Ruesch Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 4, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: DR. DERRIK P WALTON, DDS
Title: PRESIDENT
Phone: (307) 587-2951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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