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1295864304
DONALD MCQUIRE WALLACE
LYNCHBURG, VA
NPI
1295864304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401004509)
Enumeration Date
2007-03-05
Last Update Date
2011-03-03
Business Address
Dr. DONALD MCQUIRE WALLACE DDS
3700 OLD FOREST RD
LYNCHBURG, VA 24501-6900
Phone number: 434-385-9454
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Mailing Address
Dr. DONALD MCQUIRE WALLACE DDS
3700 OLD FOREST RD
LYNCHBURG, VA 24501-6900
Phone number: 434-385-9454
Copy
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