MATTHEW WALLACE, DDS

Dentist

Active Individual
NPI: 1861706145

Practice Address

63 GEIGER RD
Rome, NY 13441

Phone: (315) 339-2120

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Dentist 122300000X Yes 055556 (NY)

Frequently Asked Questions

NPI 1861706145 is the National Provider Identifier for MATTHEW WALLACE, DDS, a Dentist provider located in Rome, NY. This NPI was enumerated on July 29, 2010.
MATTHEW WALLACE, DDS practices at 63 GEIGER RD, Rome, NY 13441.

Quick Facts

NPI
1861706145
Type
Individual
Enumerated
Jul 29, 2010
Last Updated
Aug 8, 2012

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