DR. WALLACE DICK, DDS
Dentist - General Practice
Active
Individual
NPI: 1740482421
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D7009 (OR) |
Frequently Asked Questions
NPI 1740482421 is the National Provider Identifier for DR. WALLACE DICK, DDS, a Dentist - General Practice provider located in Keizer, OR. This NPI was enumerated on June 4, 2007.
DR. WALLACE DICK, DDS practices at 4705 RIVER RD N, Keizer, OR 97303.
Quick Facts
- NPI
- 1740482421
- Type
- Individual
- Enumerated
- Jun 4, 2007
- Last Updated
- Jul 8, 2007
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