DR. Kevin Bruce Wallace, D.M.D.
NPI #1316960131 in Leesburg, Florida
Provider Information
- NPI Number
- 1316960131
- Entity Type
- Individual
- Name
- DR. Kevin Bruce Wallace, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.M.D.
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Nov 2, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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