WALLACE H DICK

KEIZER, OR
NPI1740482421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7009)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
Dr. WALLACE H DICK DDS
4705 RIVER RD N
KEIZER, OR 97303-4535
Phone number: 503-393-3233
Mailing Address
Dr. WALLACE H DICK DDS
PO BOX 21689
KEIZER, OR 97307-1689
Phone number: 503-393-3233
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