Ellie Wallace, DDS

NPI #1124850763 in Cadillac, Michigan

Provider Information

NPI Number
1124850763
Entity Type
Individual
Name
Ellie Wallace, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 14, 2024
Last Updated
Aug 14, 2024

Practice Location

Address
7800 US HIGHWAY 131 S
ZIP Code
49601-7080
Phone
(231) 775-9797

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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