Individual
DR. RYAN CHRISTOPHER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12300 WILSHIRE BLVD STE 400, LOS ANGELES, CA 90025-1020
(310) 597-0715
(310) 458-8804
Mailing address
12300 WILSHIRE BLVD STE 400, LOS ANGELES, CA 90025-1020
(310) 393-8317
(310) 458-8804
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
57224
CA
Other
Enumeration date
02/18/2010
Last updated
06/12/2025
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