| Walton Dental Pllc | |
|
132 Delaware St Walton NY 13856-1331 | |
| (607) 865-4000 | |
| Not Available |
| Full Name | Walton Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 132 Delaware St, Walton, New York |
| Authorized Official Name and Position | Maksim Lyubarskiy (OWNER) |
| Authorized Official Contact | 6078654000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walton Dental Pllc 132 Delaware St Walton NY 13856-1331 Ph: (607) 865-4000 | Walton Dental Pllc 132 Delaware St Walton NY 13856-1331 Ph: (607) 865-4000 |
| NPI Number | 1790971869 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790971869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49385 (New York) | Primary |