Wallace, John Dean

Wallace, John Dean is an sole proprietor health care provider with primary practice located at 9913 Mission Gorge Rd Unit 1 , Santee CA 92071-3843. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wallace, John Dean can be contacted via phone (619) 448-3214.

Contact Information

Primary practice address
9913 Mission Gorge Rd Unit 1 Santee CA 92071-3843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22186 California

Profile Details

NPI number 1629241070
LBN Legal business name Wallace, John Dean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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