MARSHALL LYNN WALLACE

SUMTER, SC
NPI1124092697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: SC  2839/363)
Enumeration Date2006-02-14
Last Update Date2007-07-08
Business Address
Dr. MARSHALL LYNN WALLACE DMD
3 PROFESSIONAL CT
SUMTER, SC 29150-1927
Phone number: 803-469-9461
Mailing Address
Dr. MARSHALL LYNN WALLACE DMD
3 PROFESSIONAL CT
SUMTER, SC 29150-1927
Phone number: 803-469-9461
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