Dennis Leo Wallis, DDS

NPI #1710064563 in Coweta, Oklahoma

Provider Information

NPI Number
1710064563
Entity Type
Individual
Name
Dennis Leo Wallis, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
224 N BROADWAY
City
Coweta
ZIP Code
74429-2602
Phone
(918) 486-2286

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