Wallace, Richard J
Wallace, Richard J is an sole proprietor health care provider with primary practice located at 20921 E Smoky Hill Rd Suite A, Centennial CO 80015. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wallace, Richard J can be contacted via phone (303) 690-7778.Contact Information
Primary practice address
20921 E Smoky Hill Rd Suite A
Centennial CO 80015
Phone: (303) 690-7778
Fax: (303) 690-1158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 105208 | Colorado |
Profile Details
| NPI number | 1972596443 |
|---|---|
| LBN Legal business name | Wallace, Richard J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Sep 15th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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