Organization
DR. CHARLES WALLACE, DDS, PS
Active
Other names
Wallace & Solhaug Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E WALLACE DDS (OWNER)
(206) 633-5100
Entity
Organization
Contact information
Practice address
3221 EASTLAKE AVE E STE 130, SEATTLE, WA 98102-7125
(206) 633-5100
(206) 633-3667
Mailing address
3221 EASTLAKE AVE E STE 130, SEATTLE, WA 98102-7125
(206) 633-5100
(206) 633-3667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5882
WA
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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