DR. MARC WALLACH, DDS
Dentist
Active
Individual
NPI: 1104813831
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 13366 (MO) |
Frequently Asked Questions
NPI 1104813831 is the National Provider Identifier for DR. MARC WALLACH, DDS, a Dentist provider located in Saint Louis, MO. This NPI was enumerated on September 27, 2005.
DR. MARC WALLACH, DDS practices at 77 WESTPORT PLZ, SUITE 251, Saint Louis, MO 63146.
Quick Facts
- NPI
- 1104813831
- Type
- Individual
- Enumerated
- Sep 27, 2005
- Last Updated
- Jul 8, 2007
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