IndividualActive
Victor Wallace, D.D.S.
NPI 1750570107 · General Practice Dentistry · Malvern, OH
Provider details
- NPI number
- 1750570107
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15927 (OH)
Specialties & taxonomies
Dental Providers
Practice location
31 Pueblo Trl
Malvern, OH 44644-9528
Phone: (330) 863-4055
Fax: (330) 863-4055
Approximate (ZIP-level) locationGet directions
Mailing address
31 Pueblo Trl
Malvern, OH 44644-9528
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2016-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.