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Search › Minnesota › General Practice Dentistry

Mckenzie Wallace, STUDENT

NPI 1194429597 · on the registry since 2023

Practice

Address
1026 7th St W
Saint Paul, MN 55102
Phone
(651) 758-9500
Organisation at this address
United Family Practice Health Center
United Family Practice Health Center
United Family Practice Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-25

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 Minnesota