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1669870143
RICHARD J. WALLACE, DDS
CENTENNIAL, CO
NPI
1669870143
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Entity Type
Organization
Authorized Contact
RICHARD J WALLACE
Owner
303-690-7778
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
RICHARD J. WALLACE, DDS
20921 E SMOKY HILL RD UNIT A
CENTENNIAL, CO 80015-5126
Phone number: 303-690-7778
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Mailing Address
RICHARD J. WALLACE, DDS
20921 E SMOKY HILL RD UNIT A
CENTENNIAL, CO 80015-5126
Phone number: 303-690-7778
Copy
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