Wallace, Lawrence Norman
Wallace, Lawrence Norman is an individual health care provider with primary practice located at 2 Middle Canyon Rd , Carmel Valley CA 93924-9404. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wallace, Lawrence Norman can be contacted via phone (831) 659-9300.Contact Information
Primary practice address
2 Middle Canyon Rd
Carmel Valley CA 93924-9404
Phone: (831) 659-9300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 21-770 | Illinois |
Profile Details
| NPI number | 1043486962 |
|---|---|
| LBN Legal business name | Wallace, Lawrence Norman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Apr 30th, 2008 - about 16 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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