DR. Roy T. Wallace, D.D.S.
NPI #1437291200 in Billerica, Massachusetts
Provider Information
- NPI Number
- 1437291200
- Entity Type
- Individual
- Name
- DR. Roy T. Wallace, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 655 BOSTON RD STE 3A
- City
- Billerica
- State
- Massachusetts
- ZIP Code
- 01821-5338
- Phone
- (978) 667-0691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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