DR. Richard J Wallace, D.D.S.
NPI #1972596443 in Centennial, Colorado
Provider Information
- NPI Number
- 1972596443
- Entity Type
- Individual
- Name
- DR. Richard J Wallace, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 30, 2005
- Last Updated
- Sep 15, 2010
Practice Location
- Address
- 20921 E SMOKY HILL RD
- Address 2
- SUITE A
- City
- Centennial
- State
- Colorado
- ZIP Code
- 80015
- Phone
- (303) 690-7778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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