KEVIN D WALLACE DMD, PC
Dentist at Woodhurst Dr, Springfield, MO

License number
Missouri 014935
Category
Dentist
Type
Prosthodontics
Owner
Name: DR. KEVIN D WALLACE D.M.D.,P.C.
Title: DENTIST
Phone: (417) 881-1123
Address
Address
1200 E Woodhurst Dr SUITE 200-A, Springfield, MO 65804
National Provider ID: 1841404019
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KEVIN D WALLACE DMD, PC at bizstanding.com

KEVIN D. WALLACE, D.M.D., PC

Springfield, MO

Industry:
Dentist's Office
Doing business as:
Dr Kevin Wallace DMD PC<br>Kevin D Wallace DMD PC
Registration:
Jan 4, 1994
Phone:
(417) 881-1123 (Phone)
Addresses:
1200 E Woodhurst #A200, Springfield, MO 65804 (Physical)
1200 E Woodhurst Dr Ste A200, Springfield, MO 65804
State ID:
P00390235
Business type:
Professional Corporation
Expiration:
Perpetual
Bookkeepers:
Kevin D. Wallace (President, Dmd Pc, Family And General Dentistry),Becky Wallace (Bookkeeper)
Categories:
Dentists

Dentist licenses in Missouri










Other Dentists licenses in Missouri