Richard Wallace, D.D.S

NPI 1972596443 · on the registry since 2005 · sole proprietor

Practice

Address: 20921 E Smoky Hill Rd
Suite A
Centennial, CO 80015
Phone: (303) 690-7778
Fax: (303) 690-1158
Organisation at this address: Richard J. Wallace, Dds
Eye Care Professional Llc
Colorado Dental Professionals, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-09-15

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 Colorado