Dr. Matt Wallace
Dr. Matt Wallace is a General Practice Dentistry in Ventura, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
9290 Telephone RdVentura, CA 93004-2601
Phone: (805) 671-9697
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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 48566 (CA) |
|---|
Record details
| NPI number | 1437113479 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 9290 Telephone Rd, Ventura, CA 93004-2601 |
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