DR. Marshall Lynn Wallace, DMD
NPI #1124092697 in Sumter, South Carolina
Provider Information
- NPI Number
- 1124092697
- Entity Type
- Individual
- Name
- DR. Marshall Lynn Wallace, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - Periodontics
- Credential
- DMD
- Enumeration Date
- Feb 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3 PROFESSIONAL CT
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1927
- Phone
- (803) 469-9461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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