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Dr. Matt Wallace
General Practice Dentistry in Ventura, California
NPI 1437113479

Matt Wallace is a General Practice Dentistry based in Ventura, CA and is specialized in General Practice. Matt Wallace practices in Ventura, CA. The NPI Number for Matt Wallace is 1437113479 and holds a License No. 48566 (California).

The current practice location address for Matt Wallace is 9290 Telephone Rd, Ventura, CA and can be reached out via phone at 805-671-9697.

Location: 9290 Telephone Rd, Ventura, CA, 93004-2601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437113479
Provider Name
Matt Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
9290 Telephone Rd, Ventura, CA, 93004-2601
Phone Number
805-671-9697
Fax Number
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9290 Telephone Rd
City
Ventura
State
California
Zip
93004-2601
Phone Number
805-671-9697
Fax Number
person
Provider Business Mailing Address Details
Address
9290 Telephone Rd
City
Ventura
State
California
Zip
93004-2601
Phone Number
805-671-9697
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
48566 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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