Search › Maryland › 207V00000X
Jacqueline Wallace, PHYSICIAN
NPI 1912945155 · on the registry since 2006
Practice
- Address
- 10910 Little Patuxent Pkwy
Suite 100
Columbia, MD 21044 - Phone
- (410) 997-8444
- Organisation at this address
- Cedar Smiles
Edwin Zaghi Dmd Pc
Petra Dentistry Llc
Jacob Cherian Md Llc
Nicholas Donkor Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- PA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland