PATRICK L WALLACE

ARDMORE, OK
NPI1508857053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  4988)
Enumeration Date2005-11-03
Last Update Date2014-01-13
Business Address
Dr. PATRICK L WALLACE D.D.S.
1119 WALNUT DR SUITE 2
ARDMORE, OK 73401-2360
Phone number: 580-226-1727
Mailing Address
Dr. PATRICK L WALLACE D.D.S.
PO BOX 108816
OKLAHOMA CITY, OK 73101-8816
Phone number: 405-848-7974
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