Individual provider · Type 1 NPI

Leslie H. Wallace, DR

General Practice Dentistry · Camp Pendleton, CA

NPI number 1114171667 Active

Practice location

Naval Hospital, Santa Margarita Road
Camp Pendleton, CA 92055

Call (760) 725-8882 Map

Fax (760) 725-8882

Mailing address

2360 Paseo De Laura Unit 63
Oceanside, CA 92056-3721

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8882 (TN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114171667

Leslie H. Wallace, DR's National Provider Identifier is 1114171667, issued on Nov 11, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Camp Pendleton, CA. The record was last updated on Nov 11, 2008.