Most Relevant Information
Provider Data
NPI Number: | 1003021692 |
Provider Name: | GARY DALTON DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 3627 |
Most Important Dates
Enumeration Date: | 05/14/2007 |
Last Updated: | 11/08/2011 |
Provider Practice Location
300 S SCHOOL ST
DERMOTT
AR
716382127
Practice Location Phone/Fax
Phone: | 8705389720 |
Fax: | 8705383710 |
Provider Mailing Location
PO BOX 509
DERMOTT
AR
716380509
Provider Mailing Phone/Fax
Phone: | 8705385414 |
Fax: | 8705385412 |