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1144341876
NANCY SMITH WALLACE
WAUKEGAN, IL
NPI
1144341876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019021770)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Dr. NANCY SMITH WALLACE D.M.D.
1709 WASHINGTON ST
WAUKEGAN, IL 60085-5133
Phone number: 847-662-6080
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Mailing Address
Dr. NANCY SMITH WALLACE D.M.D.
301 BRIAR LN
LAKE BLUFF, IL 60044-2750
Phone number: 847-735-9468
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