DR. Sarah Ade Wallace, DMD

NPI #1164733762 in Moline, Illinois

Provider Information

NPI Number: 1164733762
Entity Type: Individual
Name: DR. Sarah Ade Wallace, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DMD
Enumeration Date: Jun 29, 2010
Last Updated: Dec 4, 2020

Practice Location

Address: 7017 JOHN DEERE PARKWAY - SUITE 2B
City: Moline
State: Illinois
ZIP Code: 61265
Phone: (309) 792-0513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
River Valley Oral and Maxillofacial Surgery Clinic Ltd	Dentist - Oral and Maxillofacial Surgery	Moline	AI Deep Dive

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