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1174665277
ERIC H WALLACE
BOCA RATON, FL
NPI
1174665277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN0008299)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Dr. ERIC H WALLACE D.D.S.
28 SE 6TH ST
BOCA RATON, FL 33432-6016
Phone number: 561-391-0020
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Mailing Address
Dr. ERIC H WALLACE D.D.S.
1140 SW 21ST LN
BOCA RATON, FL 33486-6722
Phone number: 561-393-6385
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