DR. PATRICK WALLACE, D.D.S.
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1508857053
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 4988 (OK) |
Frequently Asked Questions
NPI 1508857053 is the National Provider Identifier for DR. PATRICK WALLACE, D.D.S., a Dentist - Oral and Maxillofacial Surgery provider located in Ardmore, OK. This NPI was enumerated on November 3, 2005.
DR. PATRICK WALLACE, D.D.S. practices at 1119 WALNUT DR, SUITE 2, Ardmore, OK 73401.
Quick Facts
- NPI
- 1508857053
- Type
- Individual
- Enumerated
- Nov 3, 2005
- Last Updated
- Jan 13, 2014
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