PHILLIP WENDELL WALLACE

WILLOUGHBY, OH
NPI1083759930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  16266)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- PHILLIP WENDELL WALLACE D.D.S.
36001 EUCLID AVE STE A15
WILLOUGHBY, OH 44094-4643
Phone number: 440-946-5484
Mailing Address
-- PHILLIP WENDELL WALLACE D.D.S.
36001 EUCLID AVE STE A15
WILLOUGHBY, OH 44094-4643
Phone number: 440-946-5484
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