D & A WALLACE, INC.

EMMETT, ID
NPI1144498437
Entity TypeOrganization
Authorized ContactANDREA LAYNE WALLACE
Secretary/Owner
208-365-3534
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  3656)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
D & A WALLACE, INC.
2003 E QUAIL RUN RD
EMMETT, ID 83617-5059
Phone number: 208-365-3534
Mailing Address
D & A WALLACE, INC.
2003 E QUAIL RUN RD
EMMETT, ID 83617-5059
Phone number: 208-365-3534
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