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1548358047
MARK ARTHUR WALLACE
ROCKVILLE, MD
NPI
1548358047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 5043)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. MARK ARTHUR WALLACE D.D.S.
1901 RESEARCH BLVD SUITE 200
ROCKVILLE, MD 20850-3164
Phone number: 301-309-0707
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Mailing Address
Dr. MARK ARTHUR WALLACE D.D.S.
1901 RESEARCH BLVD SUITE 200
ROCKVILLE, MD 20850-3164
Phone number: 301-309-0707
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