Organization · Type 2 NPI

Dr. Charles Wallace, Dds, PS

General Practice Dentistry · Seattle, WA

NPI number 1962539114 Active

About NPI 1962539114

Dr. Charles Wallace, Dds, PS's National Provider Identifier is 1962539114, issued on Feb 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Seattle, WA. The record was last updated on Aug 22, 2020.