Mark a Wallace, DDS, LLC
Mark a Wallace, DDS, LLC is a General Practice Dentistry in Rockville, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1901 Research Blvd Ste 200Rockville, MD 20850-3164
Phone: (301) 309-0707
Fax: (301) 309-8169
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5043 (MD) |
|---|
Record details
| NPI number | 1891985974 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Wallace — Dentist · (301) 309-0707 |
| NPI enumerated | July 26, 2007 |
| Last updated in NPPES | July 26, 2007 |
| Mailing address | 1901 Research Blvd, Suite 200, Rockville, MD 20850-3164 |
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