DR. Robert Edward Wallace, DDS
NPI #1578564720 in Salem, Virginia
Provider Information
- NPI Number
- 1578564720
- Entity Type
- Individual
- Name
- DR. Robert Edward Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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