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Individual

DR. CAYCE WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5717 E. THOMAS ROAD, STE 110, SCOTTSDALE, AZ 85251
(480) 207-5070
(480) 304-3005
Mailing address
8151 E INDIAN BEND RD, #111, SCOTTSDALE, AZ 85250-4826
(480) 607-9999

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0025851
TX
1223P0221X
Pediatric Dentistry
Primary
D009147
AZ

Other

Enumeration date
09/10/2010
Last updated
06/28/2018
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