Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katherine Ahn Wallace, DDS

Individual provider Dentist · NPI 1790843381

Dr. Katherine Ahn Wallace, DDS is a Dentist in Los Alamitos, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11121 Los Alamitos Blvd Ste 201
Los Alamitos, CA 90720-3603
Phone: (714) 230-2434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7801 Center Ave, Huntington Beach, CA 92647-9110 — (714) 230-2400

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 41055 (CA)
Dentist Taxonomy 122300000X · Licence 41055 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 41055 (CA)

Record details

NPI number1790843381
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address11121 Los Alamitos Blvd Ste 201, Los Alamitos, CA 90720-3603

Other providers in Los Alamitos