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1972596443
RICHARD J WALLACE
CENTENNIAL, CO
NPI
1972596443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 105208)
Enumeration Date
2005-08-30
Last Update Date
2010-09-15
Business Address
Dr. RICHARD J WALLACE D.D.S.
20921 E SMOKY HILL RD SUITE A
CENTENNIAL, CO 80015
Phone number: 303-690-7778
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Mailing Address
Dr. RICHARD J WALLACE D.D.S.
20921 E SMOKY HILL ROAD SUITE A
CENTENNIAL, CO 80015
Phone number: 303-690-7778
Copy
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