Individual provider · Type 1 NPI

Alan Craig Wallace, DDS

General Practice Dentistry · Camdenton, MO

NPI number 1689740631 Active

About NPI 1689740631

Alan Craig Wallace, DDS's National Provider Identifier is 1689740631, issued on Nov 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Camdenton, MO. The record was last updated on Apr 24, 2008.