STEPHEN WALLACE DDS INC
Dentist - General Practice
Active
Organization
NPI: 1902059678
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 021252 (IL) |
Frequently Asked Questions
NPI 1902059678 is the National Provider Identifier for STEPHEN WALLACE DDS INC, a Dentist - General Practice provider located in La Grange, IL. This NPI was enumerated on October 28, 2008.
Quick Facts
- NPI
- 1902059678
- Type
- Organization
- Enumerated
- Oct 28, 2008
- Last Updated
- Oct 28, 2008
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DR. ROBERT RADA, DDS
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MR. ROBERT SUSIN, L.C.S.W.
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