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1093883936
WALLACE EDWARD BRUNSON
HOUSTON, TX
NPI
1093883936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM NM1827)
Enumeration Date
2006-11-30
Last Update Date
2015-09-04
Business Address
Dr. WALLACE EDWARD BRUNSON DDS
1314 CHARDONNAY DR
HOUSTON, TX 77077-3102
Phone number: 505-690-9881
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Mailing Address
Dr. WALLACE EDWARD BRUNSON DDS
1314 CHARDONNAY DR
HOUSTON, TX 77077-3102
Phone number: 505-690-9881
Copy
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