MICHAEL J. WALLACE D.D.S.

EDMOND, OK
NPI1669519559
Entity TypeOrganization
Authorized ContactMICHAEL J WALLACE
Dentist
405-340-0411
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5801)
Enumeration Date2007-01-31
Last Update Date2020-08-22
Business Address
MICHAEL J. WALLACE D.D.S.
1600 E 19TH ST SUITE 301
EDMOND, OK 73013-6622
Phone number: 405-340-0411
Mailing Address
MICHAEL J. WALLACE D.D.S.
1600 E 19TH ST SUITE 301
EDMOND, OK 73013-6622
Phone number: 405-340-0411