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1760405476
ROBERT RAYMOND WALLACE
GREENVILLE, SC
NPI
1760405476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 1774)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Dr. ROBERT RAYMOND WALLACE DMD
40 CREEKVIEW CT
GREENVILLE, SC 29615-4800
Phone number: 864-676-0825
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Mailing Address
Dr. ROBERT RAYMOND WALLACE DMD
40 CREEKVIEW CT
GREENVILLE, SC 29615-4800
Phone number: 864-676-0825
Copy
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