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

Glynis Dynel Wallace, DMD

Individual provider General Practice Dentistry · NPI 1669779732

Glynis Dynel Wallace, DMD is a General Practice Dentistry in San Pedro, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

779 W 20th St Apt 7
San Pedro, CA 90731-5359
Phone: (562) 221-1852
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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 37179 (CA)

Record details

NPI number1669779732
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 24, 2011
Last updated in NPPESFebruary 24, 2011
Mailing address779 W 20th St Apt 7, San Pedro, CA 90731-5359

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