Organization · Type 2 NPI
Richard J. Wallace, DDS
Dental Clinic/Center · Centennial, CO
NPI number
1669870143
Active
Practice location
20921 E Smoky Hill Rd Unit A
Centennial, CO 80015-5126
Fax (303) 690-1158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1669870143
Richard J. Wallace, DDS's National Provider Identifier is 1669870143, issued on Dec 15, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Centennial, CO. The record was last updated on Dec 15, 2014.