ERIC H WALLACE

BOCA RATON, FL
NPI1174665277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: FL  DN0008299)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
DR. ERIC H WALLACE D.D.S.
28 SE 6TH ST
BOCA RATON, FL 33432-6016
Phone number: 561-391-0020
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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