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1023496148
JOEL RICHARD WALLACE
EAGLE RIVER, AK
NPI
1023496148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AK 519)
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
DR. JOEL RICHARD WALLACE D.D.S.
16727 FARM AVENUE
EAGLE RIVER, AK 99577
Phone number: 907-694-4032
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Mailing Address
DR. JOEL RICHARD WALLACE D.D.S.
16727 FARM AVENUE
EAGLE RIVER, AK 99577
Phone number: 907-694-4032
Copy
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