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1104820174
STEPHEN CURTIS WALLACE
WILMINGTON, NC
NPI
1104820174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NC 4127)
Enumeration Date
2005-06-08
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN CURTIS WALLACE D.D.S.,M.H.S.,P.A.
2525 DELANEY RD
WILMINGTON, NC 28403-6003
Phone number: 910-343-0444
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Mailing Address
Dr. STEPHEN CURTIS WALLACE D.D.S.,M.H.S.,P.A.
2525 DELANEY RD
WILMINGTON, NC 28403-6003
Phone number: 910-343-0444
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