ROBERT EDWARD WALLACE

SALEM, VA
NPI1578564720
Professional NameROBERT E WALLACE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401003442)
Enumeration Date2005-08-09
Last Update Date2007-07-08
Business Address
Dr. ROBERT EDWARD WALLACE DDS
425 APPERSON DR
SALEM, VA 24153-7026
Phone number: 540-387-5817
Mailing Address
Dr. ROBERT EDWARD WALLACE DDS
425 APPERSON DR
SALEM, VA 24153-7026
Phone number: 540-387-5817