DR. JANE WALLACE, DDS

Dentist - General Practice

Active Individual

NPI: 1073500922

Practice Address

1100 WILFORD HALL LOOP, BLDG 4554
ATTN: 59 MDW/SGHC
Jbsa Lackland, TX 78236

Specialties

Specialty	Code	Primary	License
Dentist - General Practice	1223G0001X	Yes	015337 (MO)

Frequently Asked Questions

NPI 1073500922 is the National Provider Identifier for DR. JANE WALLACE, DDS, a Dentist - General Practice provider located in Jbsa Lackland, TX. This NPI was enumerated on October 5, 2005.

DR. JANE WALLACE, DDS practices at 1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, Jbsa Lackland, TX 78236.

Quick Facts

NPI: 1073500922
Type: Individual
Enumerated: Oct 5, 2005
Last Updated: Jul 31, 2019

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