The Wallace Group General Dentistry for Today, INC

NPI #1285004077 in Norwood, Ohio

Provider Information

NPI Number: 1285004077
Entity Type: Organization
Organization Name: The Wallace Group General Dentistry for Today, INC
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2015
Last Updated: Oct 6, 2015

Practice Location

Address: 5258 MONTGOMERY RD
City: Norwood
State: Ohio
ZIP Code: 45212-1648
Phone: (513) 531-2338

Authorized Official

Name: DR. WILLIAM R WALLACE, DDS
Title: PRESIDENT
Phone: (513) 531-2338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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