Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK OTTO WALLACE III, DDS
ActiveMR. FREDERICK OTTO WALLACE III, DDS is a Dentist healthcare provider located in SOLANA BEACH, California. NPI 1538261789 is currently active in the NPPES registry. Verify at CMS.
Dentist · SOLANA BEACH, CA
Registration Details
- NPI Number
- 1538261789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.962426999722 yrs)
- Last Updated
- Jul 8, 2007
- License
-
29847 (CA)
Practice Information
- Address
-
530 LOMAS SANTA FESUITE #7SOLANA BEACH, CA, 92075Browse CA providers · Browse ZIP 92075
- Phone
- 8587552414
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SOLANA BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID F. URICH | DDS | 1407876154 |
| DR. THOMAS ANDREW FITZPATRICK | D.D.S. | 1235231184 |
| DR. CLAUDIA BEATRIZ CORTADI | DDS | 1184822918 |
| DALE R TRUDEAU | DDS | 1033317896 |
| DR. BENJAMIN MARTIN DICKSON | DDS | 1275790859 |
| LEILA MEEVE CHIE | DMD | 1790073112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.