Individual
WALLACE WYMON DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4515 POPLAR AVE, STE. 406, MEMPHIS, TN 38117-7503
(901) 683-9800
Mailing address
4515 POPLAR AVE, STE. 406, MEMPHIS, TN 38117-7503
(901) 683-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3243
TN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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