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1841962529
BENJAMIN C. WALLACE DDS, PLLC
GREENVILLE, MI
NPI
1841962529
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Entity Type
Organization
Authorized Contact
BENJAMIN WALLACE
Owner
616-724-7824
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
BENJAMIN C. WALLACE DDS, PLLC
1330 W WASHINGTON ST
GREENVILLE, MI 48838-2190
Phone number: 616-754-7414
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Mailing Address
BENJAMIN C. WALLACE DDS, PLLC
1796 GRAND RIDGE CT NE
GRAND RAPIDS, MI 49525-7035
Phone number: 616-724-7824
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