| Benjamin C. Wallace Dds, Pllc | |
|
1330 W Washington St Greenville MI 48838-2190 | |
| (616) 754-7414 | |
| Not Available |
| Full Name | Benjamin C. Wallace Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1330 W Washington St, Greenville, Michigan |
| Authorized Official Name and Position | Benjamin Wallace (OWNER) |
| Authorized Official Contact | 6167247824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin C. Wallace Dds, Pllc 1796 Grand Ridge Ct Ne Grand Rapids MI 49525-7035 Ph: (616) 724-7824 | Benjamin C. Wallace Dds, Pllc 1330 W Washington St Greenville MI 48838-2190 Ph: (616) 754-7414 |
| NPI Number | 1841962529 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841962529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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