KIM EUGENE WALLACE

DAVIS, CA
NPI1689681041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  22932)
Enumeration Date2006-08-01
Last Update Date2016-05-11
Business Address
-- KIM EUGENE WALLACE D.D.S.
635 ANDERSON RD SUITE 17
DAVIS, CA 95616-3505
Phone number: 530-757-6453
Mailing Address
-- KIM EUGENE WALLACE D.D.S.
635 ANDERSON RD SUITE 17
DAVIS, CA 95616-3505
Phone number: 530-757-6453
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