Individual provider · Type 1 NPI

Glynis Dynel Wallace, DMD

General Practice Dentistry · San Pedro, CA

NPI number 1669779732 Active

Practice location

779 W 20th St Apt 7
San Pedro, CA 90731-5359

Call (562) 221-1852 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X37179 (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 1669779732

Glynis Dynel Wallace, DMD's National Provider Identifier is 1669779732, issued on Feb 24, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Pedro, CA. The record was last updated on Feb 24, 2011.