James B Wallace JR., DDS

NPI #1922143882 in Crosby, Texas

Provider Information

NPI Number: 1922143882
Entity Type: Individual
Name: James B Wallace JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6618 FM 2100
City: Crosby
State: Texas
ZIP Code: 77532
Phone: (281) 328-3569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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