Search › Wisconsin › 1223P0221X
Dedra Davis-Wallace, DDS
NPI 1518057934 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3131 Stein Blvd
Eau Claire, WI 54701 - Phone
- (715) 835-7172
- Fax
- (713) 490-6464
- Organisation at this address
- All Family Dental, Llc
Neal R. Benham D.D.S.,S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
1223P0221X - Licence states on file
- GA, TX, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-12
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 Wisconsin