JOHN BRIAN WALLACE

LOS ALAMITOS, CA
NPI1518094598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  41046)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Dr. JOHN BRIAN WALLACE DDS
3551 FARQUHAR AVE STE 102
LOS ALAMITOS, CA 90720-2003
Phone number: 562-598-4111
Mailing Address
Dr. JOHN BRIAN WALLACE DDS
3551 FARQUHAR AVE STE 102
LOS ALAMITOS, CA 90720-2003
Phone number: 562-598-4111