Oscar Russell Wallace
NPI #1215722509 in Cumming, Georgia
Provider Information
- NPI Number
- 1215722509
- Entity Type
- Individual
- Name
- Oscar Russell Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 9, 2025
- Last Updated
- Sep 17, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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