DR. David Allen Wallace, DDS, MS
NPI #1386646206 in Princeton, West Virginia
Provider Information
- NPI Number
- 1386646206
- Entity Type
- Individual
- Name
- DR. David Allen Wallace, DDS, MS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS, MS
- Enumeration Date
- Aug 11, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 206 S WALKER ST
- City
- Princeton
- State
- West Virginia
- ZIP Code
- 24740-2747
- Phone
- (304) 425-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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