DR. Jane Sueko Wallace, DDS
NPI #1073500922 in Jbsa Lackland, Texas
Provider Information
- NPI Number
- 1073500922
- Entity Type
- Individual
- Name
- DR. Jane Sueko Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 5, 2005
- Last Updated
- Jul 31, 2019
Practice Location
- Address
- 1100 WILFORD HALL LOOP, BLDG 4554
- Address 2
- ATTN: 59 MDW/SGHC
- City
- Jbsa Lackland
- State
- Texas
- ZIP Code
- 78236-9908
- Phone
- (210) 292-6225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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