| Dr Kevin Bruce Wallace, DMD | |
|
949 N 14th St, Leesburg, FL 34748-3838 | |
| (352) 816-0855 | |
| Not Available |
| Full Name | Dr Kevin Bruce Wallace |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 949 N 14th St, Leesburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316960131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15774 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Bruce Wallace, DMD 1107 S.e. 24 Terrace, Ocala, FL 34471 Ph: (352) 867-9890 | Dr Kevin Bruce Wallace, DMD 949 N 14th St, Leesburg, FL 34748-3838 Ph: (352) 816-0855 |
Dr. Bozena Zaleska Munguba, DMD Dentist Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 352-314-7400 Fax: 352-360-2389 | |
Herb L Bennett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 E Dixie Ave, Leesburg, FL 34748 Phone: 352-787-7890 | |
Dr. Lara A Thalji, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 918 E Dixie Ave, Leesburg, FL 34748 Phone: 352-728-8300 Fax: 352-728-8400 | |
Eldon Leon Bunn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8305 Cr44 Leg-a, Leesburg, FL 34788 Phone: 352-728-4066 Fax: 352-728-2816 | |
Marissa Crandall Cruz, D.M.D., M.S Dentist Medicare: Medicare Enrolled Practice Location: 26540 Ace Ave, Leesburg, FL 34748 Phone: 352-326-4404 | |
Kinnar Rameshchandra Shah, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 Lee St, Leesburg, FL 34748 Phone: 352-619-4089 | |
Dr. Richard Edward Huff, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1018 W Dixie Ave, Leesburg, FL 34748 Phone: 352-787-3310 Fax: 352-787-5927 |