Individual provider · Type 1 NPI

Ryan Christopher Wallace, DDS

Prosthodontics · Los Angeles, CA

NPI number 1477875458 Active

Practice location

12300 Wilshire Blvd Ste 400
Los Angeles, CA 90025-1020

Call (310) 597-0715 Map

Fax (310) 458-8804

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X57224 (CA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1477875458

Ryan Christopher Wallace, DDS's National Provider Identifier is 1477875458, issued on Feb 18, 2010. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 12, 2025.