Dr. Lawrence Norman Wallace
Dr. Lawrence Norman Wallace is an Oral and Maxillofacial Surgery (Dentist) in Carmel Valley, California. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
2 Middle Canyon RdCarmel Valley, CA 93924-9404
Phone: (831) 659-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 21-770 (IL) |
|---|
Record details
| NPI number | 1043486962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |