Organization · Type 2 NPI

Mark Charles Wallace, Dds, PC

General Practice Dentistry · Minneapolis, MN

NPI number 1184046385 Active

Practice location

3909 Silver Lake Rd NE
Minneapolis, MN 55421-4352

Call (612) 789-3573 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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 1184046385

Mark Charles Wallace, Dds, PC's National Provider Identifier is 1184046385, issued on Jan 8, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 8, 2014.