MRS. ANDREA WALLACE, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1871608604
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D-3656 (ID) |
Frequently Asked Questions
NPI 1871608604 is the National Provider Identifier for MRS. ANDREA WALLACE, D.M.D., a Dentist - General Practice provider located in Emmett, ID. This NPI was enumerated on August 20, 2006.
MRS. ANDREA WALLACE, D.M.D. practices at 2003 S PLAZA RD, Emmett, ID 83617.
Quick Facts
- NPI
- 1871608604
- Type
- Individual
- Enumerated
- Aug 20, 2006
- Last Updated
- Jul 9, 2007
Nearby Providers
-
WALTER KNOX MEMORIAL HOSPITAL
Clinic/Center - Rural Health
-
DR. LARRY DOWNER, O.D.
Optometrist
-
DEBORAH HOLLINGSWORTH, MSN, FNP-C
Nurse Practitioner - Family
-
GEM HOME HEALTH
Home Health
-
LATISHA BOWMAN, LPC
Counselor - Professional