Individual provider · Type 1 NPI

Jane Sueko Wallace, DDS

General Practice Dentistry · Jbsa Lackland, TX

NPI number 1073500922 Active

Practice location

1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc
Jbsa Lackland, TX 78236-9908

Call (210) 292-6225 Map

Mailing address

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X015337 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073500922

Jane Sueko Wallace, DDS's National Provider Identifier is 1073500922, issued on Oct 5, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jul 31, 2019.