David A. Wallace, Dds, Ms, Ltd.
NPI #1356536593 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1356536593
- Entity Type
- Organization
- Organization Name
- David A. Wallace, Dds, Ms, Ltd.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 3712 S MAIN ST
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-7017
- Phone
- (540) 552-7222
Authorized Official
- Name
- ELLA HURST
- Title
- OFC. MNGR.
- Phone
- (304) 425-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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