DR. John Kline Wallace, DDS
NPI #1316038839 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1316038839
- Entity Type
- Individual
- Name
- DR. John Kline Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2501 PRINCESS ANNE ST
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22401-3333
- Phone
- (540) 371-0004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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