| Kamp, Wallace & Associates Pllc | |
|
126 Cinema Drive Wilmington NC 28403 | |
| (910) 442-3443 | |
| Not Available |
| Full Name | Kamp, Wallace & Associates Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 126 Cinema Drive, Wilmington, North Carolina |
| Authorized Official Name and Position | Teresa Leigh Zwicky (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4808668811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamp, Wallace & Associates Pllc 5717 E Thomas Rd Ste 100 Scottsdale AZ 85251-7620 Ph: (480) 866-8811 | Kamp, Wallace & Associates Pllc 126 Cinema Drive Wilmington NC 28403 Ph: (910) 442-3443 |
| NPI Number | 1679214035 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 04/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679214035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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