R Jeffrey Wallace, DDS

NPI #1285744151 in Seymour, Tennessee

Provider Information

NPI Number
1285744151
Entity Type
Individual
Name
R Jeffrey Wallace, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 30, 2006
Last Updated
Oct 10, 2016

Practice Location

Address
11135 CHAPMAN HWY
ZIP Code
37865-4857
Phone
(865) 577-1963

Specialties & Taxonomy Codes

Specialty
Dentist

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