Individual
DR. SARAH ADE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7017 JOHN DEERE PARKWAY - SUITE 2B, MOLINE, IL 61265
(309) 792-0513
(309) 792-0534
Mailing address
7017 JOHN DEERE PARKWAY- SUITE 2B, MOLINE, IL 61265
(309) 792-0513
(309) 792-0534
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019028357
IL
Other
Enumeration date
06/29/2010
Last updated
12/04/2020
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