DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALLACE RAY BLACKWELDER, D.D.S.

Active Sole Proprietor

DR. WALLACE RAY BLACKWELDER, D.D.S. is a Dentist healthcare provider located in ROWLAND HEIGHTS, California. NPI 1801915939 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROWLAND HEIGHTS, CA

Registration Details

NPI Number
1801915939
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2007 (19.197440788401 yrs)
Last Updated
Jun 13, 2012
License
031897 (CA)
Sole Proprietor
Yes

Practice Information

Address
19728 COLIMA RD
ROWLAND HEIGHTS, CA, 917483210
Browse CA providers · Browse ZIP 91748
Phone
9095941758
Fax
9095944158
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ROWLAND HEIGHTS, CA

Name Credential NPI
MR. YOUNG H LEE DDS 1639154131
DR. IL SEON KIM DDS 1518053420
LUNG SHENG YANG DDS 1407063142
LI-CHUN CHIU D.D.S. 1619187440
DR. JENNIFER C LEE D.D.S. 1023217114
DR. KEVIN C KANG D.D.S. 1013116102
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.