DR. MARTHA WALLACE, D.M.D.

Dentist - General Practice

Active Individual
NPI: 1639172158

Practice Address

1400 6TH AVE S
Birmingham, AL 35233

Phone: (205) 930-1015

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 3030 (AL)

Frequently Asked Questions

NPI 1639172158 is the National Provider Identifier for DR. MARTHA WALLACE, D.M.D., a Dentist - General Practice provider located in Birmingham, AL. This NPI was enumerated on May 30, 2005.
DR. MARTHA WALLACE, D.M.D. practices at 1400 6TH AVE S, Birmingham, AL 35233.

Quick Facts

NPI
1639172158
Type
Individual
Enumerated
May 30, 2005
Last Updated
Jan 5, 2011

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