Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM EUGENE WALLACE, D.D.S.
Active Sole ProprietorKIM EUGENE WALLACE, D.D.S. is a General Dentistry healthcare provider located in DAVIS, California. NPI 1689681041 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DAVIS, CA
Registration Details
- NPI Number
- 1689681041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.041975449546 yrs)
- Last Updated
- May 11, 2016
- License
-
22932 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
635 ANDERSON RDSUITE 17DAVIS, CA, 956163505Browse CA providers · Browse ZIP 95616
- Phone
- 5307576453
- Fax
- 5307576450
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DAVIS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. VAHID FARAHYAR | DDS | 1942284104 |
| DR. JAMES WOODROW CHILDRESS | D.D.S | 1326016841 |
| DR. RICHARD C. KENNEDY JR. | D.D.S. | 1720092935 |
| DR. ROBERT VINCENT PHILLIPS | D.D.S. | 1790792208 |
| DR. MICHELLE D. MILLER | D.D.S. | 1134132590 |
| DR. KIMBERLY JANE ANDERSON | D.D.S | 1710091889 |
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.