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

STEPHEN WALLACE DDS INC

Active Organization

STEPHEN WALLACE DDS INC is a General Dentistry organization located in LA GRANGE, Illinois. NPI 1902059678 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LA GRANGE, IL

Registration Details

NPI Number
1902059678
Provider Type
Organization
NPI Issued
Oct 28, 2008 (17.810766052679 yrs)
Last Updated
Oct 28, 2008
License
021252 (IL)

Practice Information

Address
310 W BURLINGTON AVE
LA GRANGE, IL, 605252363
Browse IL providers · Browse ZIP 60525
Phone
7083522223
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in LA GRANGE, IL

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.