DR. KATHERINE WALLACE, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1790843381
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 41055 (CA) |
| Dentist - Pediatric Dentistry | 1223P0221X | No | 41055 (CA) |
| Dentist - General Practice | 1223G0001X | Yes | 41055 (CA) |
Frequently Asked Questions
NPI 1790843381 is the National Provider Identifier for DR. KATHERINE WALLACE, D.D.S., a Dentist - General Practice provider located in Los Alamitos, CA. This NPI was enumerated on December 5, 2006.
DR. KATHERINE WALLACE, D.D.S. practices at 11121 LOS ALAMITOS BLVD STE 201, Los Alamitos, CA 90720.
Quick Facts
- NPI
- 1790843381
- Type
- Individual
- Enumerated
- Dec 5, 2006
- Last Updated
- Jul 23, 2021
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