Kenneth Lee Wallace DDS

NPI # 

Practice Address:

4226 Little Rd

Arlington, TX, 76016-5601

Practice Phone:

817-483-1133

Practice Fax:

817-483-0388

License Number:

14263

License State:

TX

Taxonomy Grouping:

Dental Providers

Taxonomy Classification:

Dentist

Taxonomy Specialization:

General Practice

Taxonomy Code:

1223G0001X

Updated by NPPES on 7/8/2007. You can view the original data set for NPI # 1053428680 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Kenneth Lee Wallace , DDS 's

CMS CPT® coding data

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Kenneth Lee Wallace , DDS 's

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