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Stephen Wallace, D.D.S.,M.H.S.,P.A
NPI 1104820174 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2525 Delaney Rd
Wilmington, NC 28403 - Phone
- (910) 343-0444
- Fax
- (910) 343-9512
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Licence states on file
- NC
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 North Carolina