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

MS. MARQUITA DIANE WALLACE

Active

MS. MARQUITA DIANE WALLACE is a Dentist healthcare provider located in COVINGTON, Louisiana. NPI 1598087900 is currently active in the NPPES registry. Verify at CMS.

Dentist · COVINGTON, LA

Registration Details

NPI Number
1598087900
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2010 (16.288587368423 yrs)
Last Updated
Sep 25, 2013
License
6135 (LA)

Practice Information

Address
600 N HIGHWAY 190
SUITE 4
COVINGTON, LA, 704335003
Browse LA providers · Browse ZIP 70433
Phone
6158871379
Primary Specialty
Dentist
122300000X

Other Dentist Providers in COVINGTON, LA

Name Credential NPI
DR. JOE DAVID FLOWERS DDS 1306953245
DR. ALBERT R ST.PIERRE JR. D.D.S. 1316062607
DR. CARLITO P. ILAWAN DDS 1902073422
DR. JAMES ERYK HARGROVE DDS 1205087061
MARGARET ANN NUTTLI D.D.S. 1386978476
DR. PRECIOUS MONTEY MCGREGOR-WILTZ D.M.D. 1073819405
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.