Organization
ZACHARY D. WALLACE, DDS, PLLC
Active
Other names
Wallace Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY D WALLACE DDS (OWNER)
(417) 209-0972
Entity
Organization
Contact information
Practice address
127 W INDUSTRIAL PARK RD, HARRISON, AR 72601-2205
(870) 741-2808
Mailing address
127 W INDUSTRIAL PARK RD, HARRISON, AR 72601-2205
(870) 741-2808
(870) 741-2812
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4241
AR
Other
Enumeration date
07/18/2018
Last updated
09/14/2022
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