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MARK WALLACE, DDS
DDS
General Practice Dentistry
NPI: 1104047190Individual
Specialties, Licenses & Credentials
General Practice DentistryPrimary
Dentist — General Practice
Code: 1223G0001X
5919(WA)D12888(MN)
Contact & Hours
- Address
- 50 COUNTY ROAD B E
SAINT PAUL, MN 55117 - Phone
- (651) 488-2541
Quick Facts
- NPI
- 1104047190
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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