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Organization
WS DENTAL
Active
Organization
WS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRIAN WALLACH DDS (PARTNER)
(903) 216-9687
Entity
Organization
Contact information
Practice address
6801 S IH 35 STE 1-D, AUSTIN, TX 78744-4824
(512) 608-4420
(512) 608-4424
Mailing address
6801 S IH 35 STE 1-D, AUSTIN, TX 78744-4824
(512) 608-4420
(512) 608-4424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/24/2019
Last updated
06/28/2023
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