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1316038839
JOHN KLINE WALLACE
FREDERICKSBURG, VA
NPI
1316038839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401005254)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. JOHN KLINE WALLACE DDS
2501 PRINCESS ANNE ST
FREDERICKSBURG, VA 22401-3333
Phone number: 540-371-0004
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Mailing Address
Dr. JOHN KLINE WALLACE DDS
2501 PRINCESS ANNE ST
FREDERICKSBURG, VA 22401-3333
Phone number: 540-371-0004
Copy
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