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1619020237
MARY TAYLOR WALLACE
RAINBOW CITY, AL
NPI
1619020237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3642)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. MARY TAYLOR WALLACE DMD
112 W GRAND AVE
RAINBOW CITY, AL 35906-3233
Phone number: 256-442-7751
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Mailing Address
Dr. MARY TAYLOR WALLACE DMD
112 W GRAND AVE
RAINBOW CITY, AL 35906-3233
Phone number: 256-442-7751
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