Nancy Smith Wallace, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Waukegan, IL

NPI

1144341876

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

Sex

Female

Sole proprietor

Yes

Enumerated

2007-04-02

Last updated

2007-07-08