Organization
TRAX ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH WALLACE DDS (OWNER)
(419) 966-8006
Entity
Organization
Contact information
Practice address
141 WEST 3RD ST, PERRYSBURG, OH 43551
(419) 690-6885
Mailing address
141 WEST 3RD ST, PERRYSBURG, OH 43551
(419) 690-6885
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
07/09/2024
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