Stephen Leon Wallace
Stephen Leon Wallace is an Orthodontics and Dentofacial Orthopedics Dentistry in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2007
Practice location Address checks out
225 Dunbar Cave Rd Ste BClarksville, TN 37043-8846
Phone: (931) 552-5332
Fax: (931) 552-6348
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Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence DS0000004001 (TN) |
|---|
Record details
| NPI number | 1205020286 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2007 |
| Last updated in NPPES | August 31, 2007 |
| Mailing address | 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8846 |
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