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Nancy Wallace, D.M.D
NPI 1144341876 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1709 Washington St
Waukegan, IL 60085 - Phone
- (847) 662-6080
- Fax
- (847) 662-6086
- Organisation at this address
- Nancy S. Wallace, D.M.D., Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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 Illinois