DR. JASON WALLACE, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1346698842
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 6806 (OK) |
Frequently Asked Questions
NPI 1346698842 is the National Provider Identifier for DR. JASON WALLACE, D.D.S., a Dentist - General Practice provider located in Edmond, OK. This NPI was enumerated on May 25, 2016.
DR. JASON WALLACE, D.D.S. practices at 1400 W COVELL RD, Edmond, OK 73003.
Quick Facts
- NPI
- 1346698842
- Type
- Individual
- Enumerated
- May 25, 2016
- Last Updated
- May 25, 2016
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