DR. Carole A Wallace, D.D.S.
NPI #1043429368 in Red Bank, New Jersey
Provider Information
- NPI Number
- 1043429368
- Entity Type
- Individual
- Name
- DR. Carole A Wallace, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 82 BRIDGE AVE
- City
- Red Bank
- State
- New Jersey
- ZIP Code
- 07701-1160
- Phone
- (732) 530-2662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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