DR. Stephen Curtis Wallace, D.D.S.,M.H.S.,P.A.
NPI #1104820174 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1104820174
- Entity Type
- Individual
- Name
- DR. Stephen Curtis Wallace, D.D.S.,M.H.S.,P.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.D.S.,M.H.S.,P.A.
- Enumeration Date
- Jun 8, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2525 DELANEY RD
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28403-6003
- Phone
- (910) 343-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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