Wallace, C.M.

Wallace, C.M. is an individual health care provider with primary practice located at 8951 Bonita Beach Rd Se Ste 206 , Bonita Springs FL 34135-4202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wallace, C.M. can be contacted via phone (239) 992-8555.

Contact Information

Primary practice address
8951 Bonita Beach Rd Se Ste 206 Bonita Springs FL 34135-4202
Phone: (239) 992-8555
Fax: (239) 992-8644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN14024 Florida

Profile Details

NPI number 1487085072
LBN Legal business name Wallace, C.M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2013
Last updated Dec 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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