STEPHEN WALLACE
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1205020286
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | DS0000004001 (TN) |
Frequently Asked Questions
NPI 1205020286 is the National Provider Identifier for STEPHEN WALLACE, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Clarksville, TN. This NPI was enumerated on August 31, 2007.
STEPHEN WALLACE practices at 225 DUNBAR CAVE RD STE B, Clarksville, TN 37043.
Quick Facts
- NPI
- 1205020286
- Type
- Individual
- Enumerated
- Aug 31, 2007
- Last Updated
- Aug 31, 2007
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