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Individual

JAMES B WALLACE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6618 FM 2100, CROSBY, TX 77532
(281) 328-3569
(281) 328-3560
Mailing address
PO BOX 1345, CROSBY, TX 77532
(281) 328-3569
(281) 328-3560

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9405
TX

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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