Wallace Family Dentistry LLC
NPI #1649132192 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1649132192
- Entity Type
- Organization
- Organization Name
- Wallace Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 2, 2025
- Last Updated
- Dec 2, 2025
Practice Location
- Address
- 5258 MONTGOMERY RD
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45212-1648
- Phone
- (513) 531-2338
Authorized Official
- Name
- JARED R GRAHAM, DDS
- Title
- MANAGING MEMBER
- Phone
- (513) 531-2338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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