William E Wallace, D.M.D.

NPI #1710231451 in Richmond Hill, Georgia

Provider Information

NPI Number: 1710231451
Entity Type: Individual
Name: William E Wallace, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Nov 2, 2012
Last Updated: Nov 2, 2012

Practice Location

Address: 10015 FORD AVE
City: Richmond Hill
State: Georgia
ZIP Code: 31324
Phone: (912) 756-3880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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