Individual
DR. JOSEPH FRANCIS WALLACE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23 MAPLE AVE, GREENWICH, CT 06830-5620
(203) 661-5858
(203) 661-1159
Mailing address
23 MAPLE AVE, GREENWICH, CT 06830-5620
(203) 661-5858
(203) 661-1159
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
040760
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7023
CT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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