Organization
THE WALLACE GROUP GENERAL DENTISTRY FOR TODAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R WALLACE DDS (PRESIDENT)
(513) 531-2338
Entity
Organization
Contact information
Practice address
5258 MONTGOMERY RD, NORWOOD, OH 45212-1648
(513) 531-2338
Mailing address
5258 MONTGOMERY RD, NORWOOD, OH 45212-1648
(513) 531-2338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015533
OH
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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