Search › Florida › 1223G0001X
Eric Wallace, D.D.S
NPI 1174665277 · on the registry since 2007 · sole proprietor
Practice
- Address
- 28 Se 6th St
Boca Raton, FL 33432 - Phone
- (561) 391-0020
- Fax
- (561) 391-8863
- Organisation at this address
- Eric H. Wallace D.D.S P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- FL
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 Florida