DR. CHAD WALLACE, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1912070335
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 051249 (NY) |
Frequently Asked Questions
NPI 1912070335 is the National Provider Identifier for DR. CHAD WALLACE, D.D.S., a Dentist - General Practice provider located in Rome, NY. This NPI was enumerated on November 15, 2006.
DR. CHAD WALLACE, D.D.S. practices at 63 GEIGER RD, Rome, NY 13441.
Quick Facts
- NPI
- 1912070335
- Type
- Individual
- Enumerated
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
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