Individual provider · Type 1 NPI

Kim Eugene Wallace, DDS

General Practice Dentistry · Davis, CA

NPI number 1689681041 Active

Practice location

635 Anderson Rd, Suite 17
Davis, CA 95616-3505

Call (530) 757-6453 Map

Fax (530) 757-6450

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X22932 (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 1689681041

Kim Eugene Wallace, DDS's National Provider Identifier is 1689681041, issued on Aug 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Davis, CA. The record was last updated on May 11, 2016.