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Dr. Sarah Ade Wallace, DMD
Oral and Maxillofacial Surgery (Dentist) in Moline, Illinois
NPI 1164733762

Sarah Ade Wallace is a Oral and Maxillofacial Surgery (Dentist) based in Moline, IL and is specialized in Oral and Maxillofacial Surgery. Sarah Ade Wallace practices in Moline, IL and has the professional credentials of DMD. The NPI Number for Sarah Ade Wallace is 1164733762 and holds a License No. 019028357 (Illinois).

The current practice location address for Sarah Ade Wallace is 7017 John Deere Parkway - Suite 2B, Moline, IL and can be reached out via phone at 309-792-0513 and via fax at 309-792-0534.

Location: 7017 John Deere Parkway - Suite 2B, Moline, IL, 61265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164733762
Provider Name
Sarah Ade Wallace
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
7017 John Deere Parkway - Suite 2B, Moline, IL, 61265
Phone Number
309-792-0513
Fax Number
309-792-0534
Provider Enumeration Date
06/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7017 John Deere Parkway - Suite 2B
City
Moline
State
Illinois
Zip
61265
Phone Number
309-792-0513
Fax Number
309-792-0534
person
Provider Business Mailing Address Details
Address
7017 John Deere Parkway - Suite 2B
City
Moline
State
Illinois
Zip
61265
Phone Number
309-792-0513
Fax Number
309-792-0534
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019028357 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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