Wallace, Carole A

Wallace, Carole A is an sole proprietor health care provider with primary practice located at 82 Bridge Ave , Red Bank NJ 07701-1160. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wallace, Carole A can be contacted via phone (732) 530-2662.

Contact Information

Primary practice address
82 Bridge Ave Red Bank NJ 07701-1160
Phone: (732) 530-2662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019148 New Jersey

Profile Details

NPI number 1043429368
LBN Legal business name Wallace, Carole A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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