DOUGLAS W. WALLACE

FAIRFIELD, OH
NPI1376698753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: OH  30-01-6806)
Enumeration Date2007-01-24
Last Update Date2008-04-01
Business Address
Dr. DOUGLAS W. WALLACE D.D.S., M.S.
5188 WINTON RD
FAIRFIELD, OH 45014-2900
Phone number: 513-829-8080
Mailing Address
Dr. DOUGLAS W. WALLACE D.D.S., M.S.
5188 WINTON RD
FAIRFIELD, OH 45014-2900
Phone number: 513-829-8080
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AFFILLIATES IN ORAL &MAXILLOFACIAL SURGERY INC