Individual provider · Type 1 NPI

John Brian Wallace, DDS

General Practice Dentistry · Los Alamitos, CA

NPI number 1518094598 Active

Practice location

3551 Farquhar Ave Ste 102
Los Alamitos, CA 90720-2003

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X41046 (CA)

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 1518094598

John Brian Wallace, DDS's National Provider Identifier is 1518094598, issued on Feb 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Alamitos, CA. The record was last updated on Jul 8, 2007.