Most Relevant Information
Provider Data
| NPI Number: | 1003020058 |
| Provider Name: | WILLIAM MICHAEL WALTON D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 11233 |
Most Important Dates
| Enumeration Date: | 05/09/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
113 HUNT STREET
CLYDE
TX
79510
Practice Location Phone/Fax
| Phone: | 3258935875 |
| Fax: | 3258935876 |
Provider Mailing Location
PO BOX 481
113 HUNT
CLYDE
TX
795100481
Provider Mailing Phone/Fax
| Phone: | 3258935875 |
| Fax: | 3258935876 |