KEVIN D WALLACE

SPRINGFIELD, MO
NPI1972750909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: MO  014935)
Enumeration Date2008-08-21
Last Update Date2008-08-21
Business Address
Dr. KEVIN D WALLACE dmd pc
1200 E WOODHURST DR STE A200
SPRINGFIELD, MO 65804-3745
Phone number: 417-881-1123
Mailing Address
Dr. KEVIN D WALLACE dmd pc
1200 E WOODHURST DR STE A200
SPRINGFIELD, MO 65804-3745
Phone number: 417-881-1123
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