Michael J. Wallace, DDS
NPI #1518042696 in Auburn, California
Provider Information
- NPI Number
- 1518042696
- Entity Type
- Individual
- Name
- Michael J. Wallace, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 8, 2008
Practice Location
- Address
- 1263 HIGH ST
- City
- Auburn
- State
- California
- ZIP Code
- 95603-5016
- Phone
- (530) 888-1825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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