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1669467213
MARK SPANGLER WALLACE
SALT LAKE CITY, UT
NPI
1669467213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 142818-9921)
Enumeration Date
2005-09-20
Last Update Date
2020-04-06
Business Address
Dr. MARK SPANGLER WALLACE DDS
168 N 1950 W STE 202
SALT LAKE CITY, UT 84116-3007
Phone number: 801-715-3400
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Mailing Address
Dr. MARK SPANGLER WALLACE DDS
168 N 1950 W STE 202
SALT LAKE CITY, UT 84116-3007
Phone number: 801-715-3400
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