| Richard J. Wallace, Dds | |
|
20921 E Smoky Hill Rd Unit A Centennial CO 80015-5126 | |
| (303) 690-7778 | |
| (303) 690-1158 |
| Full Name | Richard J. Wallace, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20921 E Smoky Hill Rd Unit A, Centennial, Colorado |
| Authorized Official Name and Position | Richard J Wallace (OWNER) |
| Authorized Official Contact | 3036907778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Wallace, Dds 20921 E Smoky Hill Rd Unit A Centennial CO 80015-5126 Ph: (303) 690-7778 | Richard J. Wallace, Dds 20921 E Smoky Hill Rd Unit A Centennial CO 80015-5126 Ph: (303) 690-7778 |
| NPI Number | 1669870143 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669870143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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