PHILLIP WALLACE, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1083759930
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 16266 (OH) |
Frequently Asked Questions
NPI 1083759930 is the National Provider Identifier for PHILLIP WALLACE, D.D.S., a Dentist - General Practice provider located in Willoughby, OH. This NPI was enumerated on February 20, 2007.
PHILLIP WALLACE, D.D.S. practices at 36001 EUCLID AVE STE A15, Willoughby, OH 44094.
Quick Facts
- NPI
- 1083759930
- Type
- Individual
- Enumerated
- Feb 20, 2007
- Last Updated
- Jul 8, 2007
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