ANDREA WALLACE, D.M.D.

General Practice Dentistry · EMMETT, ID

Individual Active NPI 1871608604

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Dentistry1223G0001XD-3656ID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.