Wallis Dental Corporation
NPI #1538551924 in Santa Clara, California
Provider Information
- NPI Number
- 1538551924
- Entity Type
- Organization
- Organization Name
- Wallis Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 23, 2015
- Last Updated
- Feb 23, 2015
Practice Location
- Address
- 265 CRESTVIEW DR
- City
- Santa Clara
- State
- California
- ZIP Code
- 95050-6503
- Phone
- (408) 248-6777
Authorized Official
- Name
- KENNETH WALLIS, DDS
- Title
- PRESIDENT
- Phone
- (408) 406-3077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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