Organization · Type 2 NPI

Mark A Wallace, D.d.s., L.l.c.

General Practice Dentistry · Rockville, MD

NPI number 1891985974 Active

Practice location

1901 Research Blvd, Suite 200
Rockville, MD 20850-3164

Call (301) 309-0707 Map

Fax (301) 309-8169

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5043 (MD)

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.

24 other providers at this address

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About NPI 1891985974

Mark A Wallace, D.d.s., L.l.c.'s National Provider Identifier is 1891985974, issued on Jul 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockville, MD. The record was last updated on Jul 26, 2007.