KENNETH LEE WALLACE

ARLINGTON, TX
NPI1053428680
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: TX  14263)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
DR. KENNETH LEE WALLACE DDS
4226 LITTLE RD
ARLINGTON, TX 76016-5601
Phone number: 817-483-1133
Mailing Address
DR. KENNETH LEE WALLACE DDS
4226 LITTLE RD
ARLINGTON, TX 76016-5601
Phone number: 817-483-1133
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