KEVIN WALLACE, DMD PC

Prosthodontics · SPRINGFIELD, MO

Individual Active NPI 1972750909

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Prosthodontics1223P0700X014935MO

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

KEVIN WALLACE, DMD PC — NPI 1972750909