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1689740631
ALAN CRAIG WALLACE
CAMDENTON, MO
NPI
1689740631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 012116)
Enumeration Date
2006-11-28
Last Update Date
2008-04-24
Business Address
-- ALAN CRAIG WALLACE DDS
1497 N HIGHWAY 5
CAMDENTON, MO 65020
Phone number: 573-346-7278
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Mailing Address
-- ALAN CRAIG WALLACE DDS
PO BOX 820
CAMDENTON, MO 65020
Phone number: 573-346-7278
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