DR. Wallace H Dick, DDS

NPI #1740482421 in Keizer, Oregon

Provider Information

NPI Number: 1740482421
Entity Type: Individual
Name: DR. Wallace H Dick, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4705 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4535
Phone: (503) 393-3233

Specialties & Taxonomy Codes

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

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