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Organization
JAMES B WALLACE DDS INC
Active
Organization
JAMES B WALLACE DDS INC
Active
Other names
James B Wallace Jr DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JASON J WALLACE (OWNER OF ESTATE)
(281) 328-3569
Entity
Organization
Contact information
Practice address
6618 FM 2100, CROSBY, TX 77532
(281) 328-3569
Mailing address
PO BOX 1345, CROSBY, TX 77532
(281) 328-3569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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