Individual provider · Type 1 NPI
C.m. Wallace, DDS
General Practice Dentistry · Bonita Springs, FL
NPI number
1487085072
Active
Practice location
8951 Bonita Beach Rd SE Ste 206
Bonita Springs, FL 34135-4202
Fax (239) 992-8644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DN14024 (FL) |
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.
3 other providers at this address
Other general practice dentistry providers in Bonita Springs
- Roger Jacob Pint Jr., D.M.D. M.P.H.General Practice Dentistry Bonita Springs, FL NPI 1104070770
- Luis FonsecaGeneral Practice Dentistry Bonita Springs, FL NPI 1114330586
- Jade Le, DMDGeneral Practice Dentistry Bonita Springs, FL NPI 1154541845
- Abbey Dupay Morales, DMDGeneral Practice Dentistry Bonita Springs, FL NPI 1174962393
- Raul Davila, D.M.DGeneral Practice Dentistry Bonita Springs, FL NPI 1215461033
- Maximus Sam Zand, DMDGeneral Practice Dentistry Bonita Springs, FL NPI 1235381815
- Fady I. Fakhoury, DDSGeneral Practice Dentistry Bonita Springs, FL NPI 1265514418
- Leslie Marie O'Dowd, DDSGeneral Practice Dentistry Bonita Springs, FL NPI 1285769976
About NPI 1487085072
C.m. Wallace, DDS's National Provider Identifier is 1487085072, issued on Dec 6, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bonita Springs, FL. The record was last updated on Dec 6, 2013.