Wallis Dental Corporation
Wallis Dental Corporation is a General Practice Dentistry in Santa Clara, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
265 Crestview DrSanta Clara, CA 95050-6503
Phone: (408) 248-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 34914 (CA) |
|---|
Record details
| NPI number | 1538551924 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Wallis — President · (408) 406-3077 |
| Other names | Crestview Dental Group |
| NPI enumerated | February 23, 2015 |
| Last updated in NPPES | February 23, 2015 |
| Mailing address | 265 Crestview Dr, Santa Clara, CA 95050-6503 |
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