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Jane Wallace, DDS
NPI 1073500922 · on the registry since 2005
Practice
- Address
- 1100 Wilford Hall Loop, Bldg 4554
Attn: 59 Mdw/Sghc
Jbsa Lackland, TX 78236 - Phone
- (210) 292-6225
- Clinicians at this address
- 606
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-31
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 Texas