MARK CHARLES WALLACE, DDS, PC is a general practice dentist in Minneapolis, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARK CHARLES WALLACE, DDS, PC NPI is 1184046385. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Dental Group.
The provider's business location address is:
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN
ZIP 55421-352
Phone: (612) 789-3573
The provider's authorized official is Rebecca M Kipp .
The authorized official title is Office Manager and has the following contact phone number (612) 789-3573.
The enumeration date for this NPI number is 1/8/2014 and was last updated on 1/8/2014.