Individual
DR. WALLIS E ANDELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., MS
Contact information
Practice address
16168 BEACH BLVD, SUITE 90, HUNTINGTON BEACH, CA 92647-3816
(714) 847-8488
(714) 847-1582
Mailing address
16168 BEACH BLVD, SUITE 90, HUNTINGTON BEACH, CA 92647-3816
(714) 847-8488
(714) 847-1582
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
33229
CA
Other
Enumeration date
02/28/2007
Last updated
08/18/2010
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