Alan Craig Wallace, DDS

NPI #1689740631 in Camdenton, Missouri

Provider Information

NPI Number
1689740631
Entity Type
Individual
Name
Alan Craig Wallace, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 28, 2006
Last Updated
Apr 24, 2008

Practice Location

Address
1497 N HIGHWAY 5
ZIP Code
65020
Phone
(573) 346-7278

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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