DR. Chad Duane Wallace, D.D.S.

NPI #1912070335 in Rome, New York

Provider Information

NPI Number
1912070335
Entity Type
Individual
Name
DR. Chad Duane Wallace, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
63 GEIGER RD
City
Rome
ZIP Code
13441-4324
Phone
(315) 339-2120

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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