R JEFFREY WALLACE

SEYMOUR, TN
NPI1285744151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TN  D54694)
Enumeration Date2006-08-30
Last Update Date2016-10-10
Business Address
-- R JEFFREY WALLACE DDS
11135 CHAPMAN HWY
SEYMOUR, TN 37865-4857
Phone number: 865-577-1963
Mailing Address
-- R JEFFREY WALLACE DDS
11135 CHAPMAN HWY
SEYMOUR, TN 37865-4857
Phone number: 865-577-1963