DR. Brandon Tobias Wallace, DMD

NPI #1093569204 in Cincinnati, Ohio

Provider Information

NPI Number
1093569204
Entity Type
Individual
Name
DR. Brandon Tobias Wallace, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Apr 15, 2024
Last Updated
Oct 1, 2025

Practice Location

Address
4605 E GALBRAITH RD STE 100
State
Ohio
ZIP Code
45236-2888
Phone
(513) 961-1991

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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