CHARLES E WALLACE

SEATTLE, WA
NPI1063584746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  5882)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. CHARLES E WALLACE DDS
3221 EASTLAKE AVE E STE 130
SEATTLE, WA 98102-7125
Phone number: 206-633-5100
Mailing Address
Dr. CHARLES E WALLACE DDS
3221 EASTLAKE AVE E STE 130
SEATTLE, WA 98102-7125
Phone number: 206-633-5100
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