JOEL RICHARD WALLACE

EAGLE RIVER, AK
NPI1023496148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AK  519)
Enumeration Date2015-05-08
Last Update Date2015-05-08
Business Address
Dr. JOEL RICHARD WALLACE D.D.S.
16727 FARM AVENUE
EAGLE RIVER, AK 99577
Phone number: 907-694-4032
Mailing Address
Dr. JOEL RICHARD WALLACE D.D.S.
16727 FARM AVENUE
EAGLE RIVER, AK 99577
Phone number: 907-694-4032
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