Wallace, Mary Taylor
Wallace, Mary Taylor is an sole proprietor health care provider with primary practice located at 112 W Grand Ave , Rainbow City AL 35906-3233. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wallace, Mary Taylor can be contacted via phone (256) 442-7751.Contact Information
Primary practice address
112 W Grand Ave
Rainbow City AL 35906-3233
Phone: (256) 442-7751
Fax: (256) 413-7718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3642 | Alabama |
Profile Details
| NPI number | 1619020237 |
|---|---|
| LBN Legal business name | Wallace, Mary Taylor |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 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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