MATT WALLACE

VENTURA, CA
NPI1437113479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  48566)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
Dr. MATT WALLACE
9290 TELEPHONE RD
VENTURA, CA 93004-2601
Phone number: 805-671-9697
Mailing Address
Dr. MATT WALLACE
9290 TELEPHONE RD
VENTURA, CA 93004-2601
Phone number: 805-671-9697
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