DR. MARY WALLACE, DMD

Dentist - General Practice

Active Individual
NPI: 1619020237

Practice Address

112 W GRAND AVE
Rainbow City, AL 35906

Phone: (256) 442-7751

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 3642 (AL)

Frequently Asked Questions

NPI 1619020237 is the National Provider Identifier for DR. MARY WALLACE, DMD, a Dentist - General Practice provider located in Rainbow City, AL. This NPI was enumerated on January 18, 2007.
DR. MARY WALLACE, DMD practices at 112 W GRAND AVE, Rainbow City, AL 35906.

Quick Facts

NPI
1619020237
Type
Individual
Enumerated
Jan 18, 2007
Last Updated
Jul 8, 2007