DAVID A. WALLACE, DDS, MS, LTD.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1356536593- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3712 S MAIN ST, BLACKSBURG, VA, 240607017
- Phone
- (540) 552-7222
- Fax
- (540) 953-3096
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: WV #1880
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #03440