DR. KEVIN BRUCE WALLACE, D.M.D.
Dentist at 14 St, Leesburg, FL

License number
Florida DN15774
Category
Dentist
Type
Dentist
Address
Address 2
949 N 14Th St, Leesburg, FL 34748
1107 SE 24Th Ter, Ocala, FL 34471
Phone
(352) 816-0855
(352) 867-9890
(352) 622-7616 (Fax)

Organization information

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KEVIN BRUCE WALLACE D.M.D., PA

Ocala, FL

Registration:
May 21, 2012
Addresses:
6969 SE 14 Ct, Ocala, FL 34480 (Physical)
1107 SE 24 Ter, Ocala, FL 34471
State ID:
P12000046986
Business type:
Florida Profit Corporation
Secretarys:
Kevin B Wallace (President), 6969 SE 14 Ct, Ocala, FL 34480 (Physical),Dawn M Wallace (Secretary), 6969 SE 14 Ct, Ocala, FL 34480 (Physical)
Agent:
Kevin Wallace,6969 SE 14 Ct, Ocala, FL 34480 (Physical)
EIN:
45-5329733

Professional information

Kevin B Wallace Photo 1

Dr. Kevin B Wallace, Lady Lake FL - DMD (Doctor of Dental Medicine)

Specialties:
Prosthodontics
Address:
New Day Prosthodontics
929 N Us Highway 441, Lady Lake 32159
1323 E Silver Springs Blvd, Ocala 34470
(352) 622-4994 (Phone), (352) 622-7616 (Fax)
Languages:
English