KEVIN D WALLACE DMD, PC

SPRINGFIELD, MO
NPI1841404019
Entity TypeOrganization
Authorized ContactKEVIN D WALLACE
Dentist
417-881-1123
Organization Subpart ?No
Primary Taxonomy1223P0700X Dentist Prosthodontics
(Licence: MO  014935)
Enumeration Date2007-05-09
Last Update Date2008-08-21
Business Address
KEVIN D WALLACE DMD, PC
1200 E WOODHURST DR SUITE 200-A
SPRINGFIELD, MO 65804-4257
Phone number: 417-881-1123
Mailing Address
KEVIN D WALLACE DMD, PC
1200 E WOODHURST DR SUITE 200-A
SPRINGFIELD, MO 65804-4257
Phone number: 417-881-1123
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