Provider Demographics
NPI:1225246762
Name:WALTON, W RAY III (DDS)
Entity Type:Individual
Prefix:DR
First Name:W
Middle Name:RAY
Last Name:WALTON
Suffix:III
Gender:M
Credentials:DDS
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Mailing Address - Street 1:205 W WINDCREST DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-4478
Mailing Address - Country:US
Mailing Address - Phone:830-990-9660
Mailing Address - Fax:830-990-9653
Practice Address - Street 1:205 W WINDCREST DR
Practice Address - Street 2:SUITE 330
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4478
Practice Address - Country:US
Practice Address - Phone:830-990-9660
Practice Address - Fax:830-990-9653
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX134201223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics