Individual provider · Type 1 NPI

Felder E. Wallace, DDS

General Practice Dentistry · Hattiesburg, MS

NPI number 1508014176 Active

About NPI 1508014176

Felder E. Wallace, DDS's National Provider Identifier is 1508014176, issued on Sep 8, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 8, 2008.