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1891985974
MARK A WALLACE, D.D.S., L.L.C.
ROCKVILLE, MD
NPI
1891985974
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Entity Type
Organization
Authorized Contact
MARK A WALLACE
Dentist
301-309-0707
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MD 5043)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
MARK A WALLACE, D.D.S., L.L.C.
1901 RESEARCH BLVD SUITE 200
ROCKVILLE, MD 20850-3164
Phone number: 301-309-0707
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Mailing Address
MARK A WALLACE, D.D.S., L.L.C.
1901 RESEARCH BLVD SUITE 200
ROCKVILLE, MD 20850-3164
Phone number: 301-309-0707
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