CHAD DUANE WALLACE

ROME, NY
NPI1912070335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  051249)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. CHAD DUANE WALLACE D.D.S.
63 GEIGER RD
ROME, NY 13441-4324
Phone number: 315-339-2120
Mailing Address
Dr. CHAD DUANE WALLACE D.D.S.
63 GEIGER RD
ROME, NY 13441-4324
Phone number: 315-339-2120
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