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1740640036
ADAM WALLUM
JBSA LACKLAND, TX
NPI
1740640036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN22266)
Enumeration Date
2016-02-29
Last Update Date
2023-07-13
Business Address
ADAM WALLUM DMD
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0754
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Mailing Address
ADAM WALLUM DMD
1615 TRUEMPER ST RM B217
JBSA LACKLAND, TX 78236-5511
Phone number:
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