DARREN K WALLACE

EMMETT, ID
NPI1841305646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-3641)
Enumeration Date2006-08-20
Last Update Date2014-01-16
Business Address
DARREN K WALLACE D.M.D.
2003 E QUAIL RUN RD
EMMETT, ID 83617-5059
Phone number: 208-365-3534
Mailing Address
DARREN K WALLACE D.M.D.
16 ARCADE UNIT 198747
NASHVILLE, TN 37219-1994
Phone number: 615-750-0343
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