JODY PAUL WALLACE

GRAHAM, NC
NPI1740210103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  7500)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
Dr. JODY PAUL WALLACE D.D.S.
2148 HIGHWAY 54
GRAHAM, NC 27253
Phone number: 336-578-3884
Mailing Address
Dr. JODY PAUL WALLACE D.D.S.
2148 HIGHWAY 54
GRAHAM, NC 27253
Phone number: 336-578-3884
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