Organization · Type 2 NPI

C M Wallace DDS PA

General Practice Dentistry · Bonita Springs, FL

NPI number 1578612925 Active

Practice location

8951 Bonita Beach Rd
Bonita Springs, FL 34135-4201

Call (239) 992-8555 Map

Fax (239) 992-8644

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN14024 (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.

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About NPI 1578612925

C M Wallace DDS PA's National Provider Identifier is 1578612925, issued on Jan 8, 2007. 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 Sep 29, 2010.