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Search › Florida › 1223G0001X

Leigh Wallace, DDS

NPI 1932367414 · on the registry since 2008

Practice

Address
515 W 6th St
Jacksonville, FL 32206
Phone
(904) 253-1210
Fax
(904) 253-1956
Organisation at this address
Florida Department Of Health
Florida Department Of Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-22

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