Individual
GISELLE FOURIER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
445 ALBEE SQ, BROOKLYN, NY 11201-5177
(646) 997-4300
Mailing address
1004 BERGEN ST APT 2L, BROOKLYN, NY 11216-3497
(973) 508-4540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064313
NY
Other
Enumeration date
03/22/2023
Last updated
10/23/2025
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