Robert R Wallace Dmd PA
NPI #1881614253 in Greenville, South Carolina
Provider Information
- NPI Number
- 1881614253
- Entity Type
- Organization
- Organization Name
- Robert R Wallace Dmd PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 40 CREEKVIEW CT
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29615-4800
- Phone
- (864) 676-0825
Authorized Official
- Name
- DR. ROBERT RAYMOND WALLACE, DMD
- Title
- PRESIDENT
- Phone
- (864) 676-0825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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