Michael J. Wallace DDS
Michael J. Wallace DDS is a General Practice Dentistry in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
Practice location Address checks out
1600 E 19th St Ste 301Edmond, OK 73013-6622
Phone: (405) 340-0411
Fax: (405) 340-3217
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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 5801 (OK) |
|---|
Record details
| NPI number | 1669519559 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Wallace — Dentist · (405) 340-0411 |
| NPI enumerated | January 31, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1600 E 19th St, Suite 301, Edmond, OK 73013-6622 |
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