DR. Benjamin Wallace, DDS
NPI #1033647516 in Fremont, Michigan
Provider Information
- NPI Number
- 1033647516
- Entity Type
- Individual
- Name
- DR. Benjamin Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 30, 2017
- Last Updated
- May 30, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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