Individual provider · Type 1 NPI

Brian Wallace, DMD

General Practice Dentistry · Prestonsburg, KY

NPI number 1093866121 Active

About NPI 1093866121

Brian Wallace, DMD's National Provider Identifier is 1093866121, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Prestonsburg, KY. The record was last updated on Jul 8, 2007.