Search › Alaska › 1223G0001X
Joel Wallace, D.D.S
NPI 1023496148 · on the registry since 2015 · sole proprietor
Practice
- Address
- 16727 Farm Avenue
Eagle River, AK 99577 - Phone
- (907) 694-4032
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska