DR. Mary Taylor Wallace, DMD

NPI #1619020237 in Rainbow City, Alabama

Provider Information

NPI Number: 1619020237
Entity Type: Individual
Name: DR. Mary Taylor Wallace, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 112 W GRAND AVE
City: Rainbow City
State: Alabama
ZIP Code: 35906-3233
Phone: (256) 442-7751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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Isbell Dental Blue PC	Dentist - General Practice	Rainbow City	AI Deep Dive

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