Organization
D & A WALLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA LAYNE WALLACE D.M.D. (SECRETARY/OWNER)
(208) 365-3534
Entity
Organization
Contact information
Practice address
2003 E QUAIL RUN RD, EMMETT, ID 83617-5059
(208) 365-3534
(208) 365-6231
Mailing address
2003 E QUAIL RUN RD, EMMETT, ID 83617-5059
(208) 365-3534
(208) 365-6231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3656
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8071026
—
ID
Enumeration date
02/20/2008
Last updated
02/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us