Search › California › Oral and Maxillofacial Surgery (Dentist)
Lawrence Wallace
NPI 1043486962 · on the registry since 2008
Practice
- Address
- 2 Middle Canyon Rd
Carmel Valley, CA 93924 - Phone
- (831) 659-9300
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-30
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 California