NPI 1063559748
George Marvin Wallace, DDS
Practice location
- Address
- 710 N Elm St, High Point, NC 27262-3918
- Phone
- (336) 882-4181
- Fax
- (336) 464-2166
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1063559748
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jan 2007
- Record last updated
- 25 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.