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
ZIP Code
07701-1160
Phone
(732) 530-2662

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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