DR. George Marvin Wallace, D. D. S.

NPI #1063559748 in High Point, North Carolina

Provider Information

NPI Number
1063559748
Entity Type
Individual
Name
DR. George Marvin Wallace, D. D. S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D. D. S.
Enumeration Date
Jan 31, 2007
Last Updated
Apr 25, 2017

Practice Location

Address
710 N ELM ST
ZIP Code
27262-3918
Phone
(336) 882-4181

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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