Individual provider · Type 1 NPI

Wallace Ray Blackwelder, DDS

Dentist · Rowland Heights, CA

NPI number 1801915939 Active

Practice location

19728 Colima Rd
Rowland Heights, CA 91748-3210

Fax (909) 594-4158

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X031897 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1801915939

Wallace Ray Blackwelder, DDS's National Provider Identifier is 1801915939, issued on Mar 28, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rowland Heights, CA. The record was last updated on Jun 13, 2012.