Individual
WALLACE C LAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3415 E LAWRENCEVILLE ST, DULUTH, GA 30096-3354
(770) 476-5227
Mailing address
3415 E LAWRENCEVILLE ST, DULUTH, GA 30096-3354
(770) 476-5227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6981
GA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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