RICHARD J WALLACE

CENTENNIAL, CO
NPI1972596443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CO  105208)
Enumeration Date2005-08-30
Last Update Date2010-09-15
Business Address
DR. RICHARD J WALLACE D.D.S.
20921 E SMOKY HILL RD SUITE A
CENTENNIAL, CO 80015
Phone number: 303-690-7778
Mailing Address
DR. RICHARD J WALLACE D.D.S.
20921 E SMOKY HILL ROAD SUITE A
CENTENNIAL, CO 80015
Phone number: 303-690-7778