Mark A Wallace, D.D.S., L.L.C.

LBN: Mark A Wallace, D.D.S., L.L.C.
Mark A Wallace, D.D.S., L.L.C. is an health care organization with primary practice located at 1901 Research Blvd Suite 200, Rockville MD 20850-3164. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mark A Wallace, D.D.S., L.L.C. can be contacted via phone (301) 309-0707, or through Wallace, Mark A via phone (301) 309-0707.

Contact Information

Primary practice address
1901 Research Blvd Suite 200 Rockville MD 20850-3164
Phone: (301) 309-0707
Fax: (301) 309-8169
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Mark A Doctor of Dental Surgery (DDS)
Phone: (301) 309-0707

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5043 Maryland

Profile Details

NPI number 1891985974
LBN Legal business name Mark A Wallace, D.D.S., L.L.C.
DBA Doing business as
Authorized official Wallace, Mark A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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