Gina Wallace
Gina Wallace is a Dental Hygienist in Brunswick, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
4741 Altama AveBrunswick, GA 31520-2910
Phone: (912) 262-1081
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence DH043989 (GA) |
|---|
Record details
| NPI number | 1417699505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2022 |
| Last updated in NPPES | April 10, 2022 |
| Certification date | April 10, 2022 |