Walton Dental Pllc

NPI #1790971869 in Walton, New York

Provider Information

NPI Number: 1790971869
Entity Type: Organization
Organization Name: Walton Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 21, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 132 DELAWARE ST
City: Walton
State: New York
ZIP Code: 13856-1331
Phone: (607) 865-4000

Authorized Official

Name: MAKSIM LYUBARSKIY
Title: OWNER
Phone: (607) 865-4000

Specialties & Taxonomy Codes

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

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