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Kim Eugene Wallace, DDS
General Practice Dentistry in Davis, California
NPI 1689681041

Kim Eugene Wallace is a General Practice Dentistry based in Davis, CA and is specialized in General Practice. Kim Eugene Wallace practices in Davis, CA and has the professional credentials of DDS. The NPI Number for Kim Eugene Wallace is 1689681041 and holds a License No. 22932 (California).

The current practice location address for Kim Eugene Wallace is 635 Anderson Rd, Davis, CA and can be reached out via phone at 530-757-6453 and via fax at 530-757-6450.

Location: 635 Anderson Rd, Davis, CA, 95616-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689681041
Provider Name
Kim Eugene Wallace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
635 Anderson Rd, Davis, CA, 95616-3505
Phone Number
530-757-6453
Fax Number
530-757-6450
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
635 Anderson Rd
City
Davis
State
California
Zip
95616-3505
Phone Number
530-757-6453
Fax Number
530-757-6450
person
Provider Business Mailing Address Details
Address
635 Anderson Rd
City
Davis
State
California
Zip
95616-3505
Phone Number
530-757-6453
Fax Number
530-757-6450
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22932 (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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