MR. Scott W. Wallace, DDS
NPI #1407902257 in Elverson, Pennsylvania
Provider Information
- NPI Number
- 1407902257
- Entity Type
- Individual
- Name
- MR. Scott W. Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4101 MAIN ST
- City
- Elverson
- State
- Pennsylvania
- ZIP Code
- 19520-9378
- Phone
- (610) 286-5841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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