Individual provider · Type 1 NPI

Charles Wayne Wallace, DDS

General Practice Dentistry · Staunton, VA

NPI number 1073643862 Active

About NPI 1073643862

Charles Wayne Wallace, DDS's National Provider Identifier is 1073643862, issued on Mar 7, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Staunton, VA. The record was last updated on Mar 7, 2023.