MICHAEL J. WALLACE

AUBURN, CA
NPI1518042696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40758)
Enumeration Date2006-10-26
Last Update Date2008-07-08
Business Address
-- MICHAEL J. WALLACE DDS
1263 HIGH ST
AUBURN, CA 95603-5016
Phone number: 530-888-1825
Mailing Address
-- MICHAEL J. WALLACE DDS
1263 HIGH ST
AUBURN, CA 95603-5016
Phone number: 530-888-1825
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