DR. Wallace Thune, DDS

NPI #1154471415 in San Clemente, California

Provider Information

NPI Number: 1154471415
Entity Type: Individual
Name: DR. Wallace Thune, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 181 AVENIDA VAQUERO STE B
City: San Clemente
State: California
ZIP Code: 92672-3658
Phone: (949) 498-6840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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