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Stephen Wallace Dds Inc
General Practice Dentistry in La Grange, Illinois
NPI 1902059678

Stephen Wallace Dds Inc is a General Practice Dentistry based in La Grange, IL and is specialized in General Practice. Stephen Wallace Dds Inc practices in La Grange, IL. The NPI Number for Stephen Wallace Dds Inc is 1902059678 and holds a License No. 021252 (Illinois).

The current practice location address for Stephen Wallace Dds Inc is 310 W Burlington Ave, La Grange, IL and can be reached out via phone at 708-352-2223.

Location: 310 W Burlington Ave, La Grange, IL, 60525-2363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902059678
Provider Name
Stephen Wallace Dds Inc
Credential
Provider Entity Type
Organization
Address
310 W Burlington Ave, La Grange, IL, 60525-2363
Phone Number
708-352-2223
Fax Number
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
310 W Burlington Ave
City
La Grange
State
Illinois
Zip
60525-2363
Phone Number
708-352-2223
Fax Number
person
Provider Business Mailing Address Details
Address
310 W Burlington Ave
City
La Grange
State
Illinois
Zip
60525-2363
Phone Number
708-352-2223
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
021252 (Illinois)
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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