MR. SCOTT WALLACE, DDS
Dentist - General Practice
Active
Individual
NPI: 1407902257
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DSO26093L (PA) |
Frequently Asked Questions
NPI 1407902257 is the National Provider Identifier for MR. SCOTT WALLACE, DDS, a Dentist - General Practice provider located in Elverson, PA. This NPI was enumerated on January 26, 2007.
MR. SCOTT WALLACE, DDS practices at 4101 MAIN ST, Elverson, PA 19520.
Quick Facts
- NPI
- 1407902257
- Type
- Individual
- Enumerated
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
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