DR. Katherine Ahn Wallace, D.D.S.

NPI #1790843381 in Los Alamitos, California

Provider Information

NPI Number: 1790843381
Entity Type: Individual
Name: DR. Katherine Ahn Wallace, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 5, 2006
Last Updated: Jul 23, 2021

Practice Location

Address: 11121 LOS ALAMITOS BLVD STE 201
City: Los Alamitos
State: California
ZIP Code: 90720-3603
Phone: (714) 230-2434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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