Michael J. Wallace, DDS
General Dentistry · Edmond, OK
UnclaimedDDSNPI 1417014424
- Primary taxonomy
- 122300000X
- Enumerated
- 2007-01-02
- Practice location
- Edmond, OK
- Last NPPES update
- 2021-01-28
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.