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Search › Ohio › General Practice Dentistry

Phillip Wallace, D.D.S

NPI 1083759930 · on the registry since 2007 · sole proprietor

Practice

Address
36001 Euclid Ave Ste A15
Willoughby, OH 44094
Phone
(440) 946-5484
Fax
(440) 946-5810
Organisation at this address
. Arthur Weinstein
Izold A Malament Md Inc
Wellstreet Of Georgia Pc
Lake Hospital System Inc
Lake Hospital System Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Ohio