DR. Dustin Guy Wallace, DDS
NPI #1770932808 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1770932808
- Entity Type
- Individual
- Name
- DR. Dustin Guy Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 9, 2016
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 2801 S OLIVE ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-5433
- Phone
- (870) 663-4180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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