R JEFFREY WALLACE DDS PLLC

SEYMOUR, TN
NPI1538201454
Entity TypeOrganization
Authorized ContactR JEFFREY WALLACE
Owner President
865-577-0194
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-02-14
Last Update Date2020-08-22
Business Address
R JEFFREY WALLACE DDS PLLC
111 PEACOCK COURT
SEYMOUR, TN 37865
Phone number: 865-577-0194
Mailing Address
R JEFFREY WALLACE DDS PLLC
111 PEACOCK COURT
SEYMOUR, TN 37865
Phone number: 865-577-0194
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