Organization · Type 2 NPI

Wallace Colvin PC

Dental Clinic/Center · Mount Clemens, MI

NPI number 1952853103 Active

Practice location

69 Southbound Gratiot Ave Lowr
Mount Clemens, MI 48043-7600

Call (586) 783-7000 Map

Fax (586) 783-7003

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

About NPI 1952853103

Wallace Colvin PC's National Provider Identifier is 1952853103, issued on Nov 3, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount Clemens, MI. The record was last updated on Nov 3, 2016.