Search › Illinois › 1223S0112X
Sarah Wallace, DMD
NPI 1164733762 · on the registry since 2010
Practice
- Address
- 7017 John Deere Parkway - Suite 2b
Moline, IL 61265 - Phone
- (309) 792-0513
- Fax
- (309) 792-0534
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-04
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 Illinois