JEFFREY ROBERT WALLACE

ATLANTA, GA
NPI1306006796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-06-10
Last Update Date2008-06-10
Business Address
Dr. JEFFREY ROBERT WALLACE D.D.S
1365 CLIFTON RD NE BUILDING B SUITE 2300
ATLANTA, GA 30322-1013
Phone number: 404-778-4500
Mailing Address
Dr. JEFFREY ROBERT WALLACE D.D.S
44 PEACHTREE PL NW UNIT 722
ATLANTA, GA 30309-5408
Phone number: 404-840-4945
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