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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK CHARLES WALLACE, DDS, PC

Active Organization

MARK CHARLES WALLACE, DDS, PC is a General Dentistry organization located in MINNEAPOLIS, Minnesota. NPI 1184046385 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MINNEAPOLIS, MN

Registration Details

NPI Number
1184046385
Provider Type
Organization
NPI Issued
Jan 8, 2014 (12.566862305195 yrs)
Last Updated
Jan 8, 2014

Practice Information

Address
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN, 554214352
Browse MN providers · Browse ZIP 55421
Phone
6127893573
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.