Heath R Wallace
Heath R Wallace is a Dentist in Weston, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2007
Practice location Address checks out
13160 Main StWeston, OH 43569
Phone: (419) 669-2839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 30-022208 (OH) |
|---|
Record details
| NPI number | 1811010069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 13160 Main Street, Weston, OH 43569 |