BRANDON TOBIAS WALLACE

CINCINNATI, OH
NPI1093569204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-15
Last Update Date2024-04-15
Business Address
DR. BRANDON TOBIAS WALLACE DMD
4605 E GALBRAITH RD STE 100
CINCINNATI, OH 45236-2888
Phone number: 513-961-1991
Mailing Address
DR. BRANDON TOBIAS WALLACE DMD
345 HARRISON AVE PH 19
BOSTON, MA 02118-4095
Phone number: 910-580-5699
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