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1487871968
JONI K WALLACE
AUSTIN, TX
NPI
1487871968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 18163)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Dr. JONI K WALLACE
2414 EXPOSITION BLVD SUITE B-105
AUSTIN, TX 78703
Phone number: 512-236-1611
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Mailing Address
Dr. JONI K WALLACE
2414 EXPOSITION BLVD SUITE B-105
AUSTIN, TX 78703
Phone number:
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