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Wallace Brunson, DDS
NPI 1093883936 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1314 Chardonnay Dr
Houston, TX 77077 - Phone
- (505) 690-9881
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-04
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