Nancy S. Wallace, D.M.D., Ltd. Valid NPI

Organization · General Practice Dentistry · Waukegan, IL

NPI

1548214034

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

Enumerated

2006-05-20

Last updated

2020-08-22