LESLIE WALLACE, DR
Dentist - General Practice
Active
Individual
NPI: 1114171667
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 8882 (TN) |
Frequently Asked Questions
NPI 1114171667 is the National Provider Identifier for LESLIE WALLACE, DR, a Dentist - General Practice provider located in Camp Pendleton, CA. This NPI was enumerated on November 11, 2008.
LESLIE WALLACE, DR practices at NAVAL HOSPITAL, SANTA MARGARITA ROAD, Camp Pendleton, CA 92055.
Quick Facts
- NPI
- 1114171667
- Type
- Individual
- Enumerated
- Nov 11, 2008
- Last Updated
- Nov 11, 2008
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