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Mary Wallace, DMD
NPI 1619020237 · on the registry since 2007 · sole proprietor
Practice
- Address
- 112 W Grand Ave
Rainbow City, AL 35906 - Phone
- (256) 442-7751
- Fax
- (256) 413-7718
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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 Alabama