Organization
JAMES C. WALLACE DDS
Active
Other names
Grass Valley Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C. WALLACE D.D.S. (OWNER)
(530) 273-4814
Entity
Organization
Contact information
Practice address
122 BANK ST, GRASS VALLEY, CA 95945-6520
(530) 273-4814
Mailing address
122 BANK ST, GRASS VALLEY, CA 95945-6520
(530) 273-4814
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
32514
CA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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