LEIGH M WALLACE

JACKSONVILLE, FL
NPI1932367414
Former NameCYNTHIA LEIGH MORRELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN10583)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: FL  10583)
Enumeration Date2008-05-30
Last Update Date2013-02-22
Business Address
Dr. LEIGH M WALLACE DDS
515 W 6TH ST
JACKSONVILLE, FL 32206-4324
Phone number: 904-253-1210
Mailing Address
Dr. LEIGH M WALLACE DDS
900 UNIVERSITY BLVD N MC - 75
JACKSONVILLE, FL 32211-9230
Phone number: 904-253-2062