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Search › Florida › 1223G0001X

C.M. Wallace, DDS

NPI 1487085072 · on the registry since 2013

Practice

Address
8951 Bonita Beach Rd Se Ste 206
Bonita Springs, FL 34135
Phone
(239) 992-8555
Fax
(239) 992-8644
Organisation at this address
National Vision Inc
Bonita Dental Care,Pa
Treehouse Dental Care
Bonita Wellness Center
Bonita Dental Care, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

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
2013-12-06

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