| Wallace Family Dental | |
|
127 W Industrial Park Rd Harrison AR 72601-2205 | |
| (870) 741-2808 | |
| Not Available |
| Full Name | Wallace Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 127 W Industrial Park Rd, Harrison, Arkansas |
| Authorized Official Name and Position | Zachary D Wallace (OWNER) |
| Authorized Official Contact | 4172090972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Family Dental 127 W Industrial Park Rd Harrison AR 72601-2205 Ph: (870) 741-2808 | Wallace Family Dental 127 W Industrial Park Rd Harrison AR 72601-2205 Ph: (870) 741-2808 |
| NPI Number | 1144706581 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144706581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4241 (Arkansas) | Primary |
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