DR. MATT WALLACE
Dentist - General Practice
Active
Individual
NPI: 1437113479
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 48566 (CA) |
Frequently Asked Questions
NPI 1437113479 is the National Provider Identifier for DR. MATT WALLACE, a Dentist - General Practice provider located in Ventura, CA. This NPI was enumerated on April 14, 2006.
DR. MATT WALLACE practices at 9290 TELEPHONE RD, Ventura, CA 93004.
Quick Facts
- NPI
- 1437113479
- Type
- Individual
- Enumerated
- Apr 14, 2006
- Last Updated
- Jul 8, 2007
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