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1316930233
JENNIFER KRISTINE WALLACE
BEAUFORT, SC
NPI
1316930233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 3538)
Enumeration Date
2005-08-25
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER KRISTINE WALLACE DMD
BEAUFORT NAVAL HOSPITAL 1 PICKNEY AVE
BEAUFORT, SC 29902
Phone number: 843-228-3500
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Mailing Address
Dr. JENNIFER KRISTINE WALLACE DMD
225 DISTANT ISLAND DR
BEAUFORT, SC 29907-1558
Phone number: 843-986-1071
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