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DR. ZACHARY D WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
127 W INDUSTRIAL PARK RD, HARRISON, AR 72601
(870) 741-2808
Mailing address
127 W INDUSTRIAL PARK RD, HARRISON, AR 72601-2205
(417) 209-0972

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4241
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2017
Last updated
09/14/2022
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