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William Wallace, D.M.D
NPI 1710231451 · on the registry since 2012
Practice
- Address
- 10015 Ford Ave
Richmond Hill, GA 31324 - Phone
- (912) 756-3880
- Fax
- (912) 756-3516
- Organisation at this address
- Richmond Hill Family & Cosmetic Dentistry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-02
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 Georgia