MARK A WALLACE, D.D.S., L.L.C.

ROCKVILLE, MD
NPI1891985974
Entity TypeOrganization
Authorized ContactMARK A WALLACE
Dentist
301-309-0707
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  5043)
Enumeration Date2007-07-26
Last Update Date2007-07-26
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
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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