DR. Joel Richard Wallace, D.D.S.
NPI #1023496148 in Eagle River, Alaska
Provider Information
- NPI Number
- 1023496148
- Entity Type
- Individual
- Name
- DR. Joel Richard Wallace, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 8, 2015
- Last Updated
- May 8, 2015
Practice Location
- Address
- 16727 FARM AVENUE
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577
- Phone
- (907) 694-4032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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