Search › California › 1223G0001X
John Wallace, DDS
NPI 1629241070 · on the registry since 2008 · sole proprietor
Practice
- Address
- 9913 Mission Gorge Rd Unit 1
Santee, CA 92071 - Phone
- (619) 448-3214
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-08
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