TABITHA A WALLACE

LITTLE ROCK, AR
NPI1629348198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AR  2217)
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
Mrs. TABITHA A WALLACE RDH
12921 CANTRELL ROAD SUITE 101
LITTLE ROCK, AR 72223-1798
Phone number: 501-664-3279
Mailing Address
Mrs. TABITHA A WALLACE RDH
12921 CANTRELL ROAD SUITE 101
LITTLE ROCK, AR 72223-1798
Phone number: 501-664-3279
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