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C.m. Wallace, DDS
General Practice Dentistry in Bonita Springs, Florida
NPI 1487085072

C.m. Wallace is a General Practice Dentistry based in Bonita Springs, FL and is specialized in General Practice. C.m. Wallace practices in Bonita Springs, FL and has the professional credentials of DDS. The NPI Number for C.m. Wallace is 1487085072 and holds a License No. DN14024 (Florida).

The current practice location address for C.m. Wallace is 8951 Bonita Beach Rd Se Ste 206, Bonita Springs, FL and can be reached out via phone at 239-992-8555 and via fax at 239-992-8644.

Location: 8951 Bonita Beach Rd Se Ste 206, Bonita Springs, FL, 34135-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487085072
Provider Name
C.m. Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8951 Bonita Beach Rd Se Ste 206, Bonita Springs, FL, 34135-4202
Phone Number
239-992-8555
Fax Number
239-992-8644
Provider Enumeration Date
12/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8951 Bonita Beach Rd Se Ste 206
City
Bonita Springs
State
Florida
Zip
34135-4202
Phone Number
239-992-8555
Fax Number
239-992-8644
person
Provider Business Mailing Address Details
Address
8951 Bonita Beach Rd Se Ste 206
City
Bonita Springs
State
Florida
Zip
34135-4202
Phone Number
239-992-8555
Fax Number
239-992-8644
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN14024 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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