Wayne Carroll Wallace, DDS
NPI #1154460459 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1154460459
- Entity Type
- Individual
- Name
- Wayne Carroll Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Nov 6, 2014
Practice Location
- Address
- 3972 RED BANK RD
- Address 2
- SUITE E
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45227-3425
- Phone
- (513) 561-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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