Darren K Wallace, D.M.D.

NPI #1841305646 in Emmett, Idaho

Provider Information

NPI Number
1841305646
Entity Type
Individual
Name
Darren K Wallace, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Aug 20, 2006
Last Updated
Jan 16, 2014

Practice Location

Address
2003 E QUAIL RUN RD
City
Emmett
State
Idaho
ZIP Code
83617-5059
Phone
(208) 365-3534

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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