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1104813831
MARC ALLAN WALLACH
SAINT LOUIS, MO
NPI
1104813831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 13366)
Enumeration Date
2005-09-27
Last Update Date
2007-07-08
Business 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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Mailing Address
Dr. MARC ALLAN WALLACH DDS
77 WESTPORT PLZ SUITE 251
SAINT LOUIS, MO 63146-3107
Phone number: 314-434-7300
Copy
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