SCOTT W. WALLACE

ELVERSON, PA
NPI1407902257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  DSO26093L)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
Mr. SCOTT W. WALLACE DDS
4101 MAIN ST
ELVERSON, PA 19520-9378
Phone number: 610-286-5841
Mailing Address
Mr. SCOTT W. WALLACE DDS
4101 MAIN ST
ELVERSON, PA 19520-9378
Phone number: 610-286-5841
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