| Stephen Wallace Dds Pc | |
|
140 Grandview Ave Suite 102 Waterbury CT 06708 | |
| (203) 753-1112 | |
| (203) 573-0773 |
| Full Name | Stephen Wallace Dds Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 140 Grandview Ave, Waterbury, Connecticut |
| Authorized Official Name and Position | Jennifer M Cathcart (OFFICE MANAGER) |
| Authorized Official Contact | 2037531112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Wallace Dds Pc 140 Grandview Ave Suite 102 Waterbury CT 06708 Ph: (203) 753-1112 | Stephen Wallace Dds Pc 140 Grandview Ave Suite 102 Waterbury CT 06708 Ph: (203) 753-1112 |
| NPI Number | 1629121561 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 03/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629121561 | NPI | - | NPPES |
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