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Dr. Kenneth Gregg Wallis, DDS
General Practice Dentistry in Santa Clara, California
NPI 1538350038

Kenneth Gregg Wallis is a General Practice Dentistry based in Santa Clara, CA and is specialized in General Practice. Kenneth Gregg Wallis practices in Santa Clara, CA and has the professional credentials of DDS. The NPI Number for Kenneth Gregg Wallis is 1538350038 and holds a License No. 34914 (California).

The current practice location address for Kenneth Gregg Wallis is 265 Crestview Dr, Santa Clara, CA and can be reached out via phone at 408-248-6777 and via fax at 408-248-1947.

Location: 265 Crestview Dr, Santa Clara, CA, 95050-6503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538350038
Provider Name
Kenneth Gregg Wallis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
265 Crestview Dr, Santa Clara, CA, 95050-6503
Phone Number
408-248-6777
Fax Number
408-248-1947
Provider Enumeration Date
08/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
265 Crestview Dr
City
Santa Clara
State
California
Zip
95050-6503
Phone Number
408-248-6777
Fax Number
408-248-1947
person
Provider Business Mailing Address Details
Address
265 Crestview Dr
City
Santa Clara
State
California
Zip
95050-6503
Phone Number
408-248-6777
Fax Number
408-248-1947
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
34914 (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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