MARC ALLAN WALLACH

SAINT LOUIS, MO
NPI1104813831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  13366)
Enumeration Date2005-09-27
Last Update Date2007-07-08
Business Address
Dr. MARC ALLAN WALLACH DDS
77 WESTPORT PLZ SUITE 251
SAINT LOUIS, MO 63146-3107
Phone number: 314-434-7300
Mailing Address
Dr. MARC ALLAN WALLACH DDS
77 WESTPORT PLZ SUITE 251
SAINT LOUIS, MO 63146-3107
Phone number: 314-434-7300
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