Individual
DR. ERIC MICHAEL WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1515 STATE ST, SUITE 9, SANTA BARBARA, CA 93101-2536
(805) 962-7933
(805) 962-7234
Mailing address
1515 STATE ST, SUITE 9, SANTA BARBARA, CA 93101-2536
(805) 962-7933
(805) 962-7234
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52016
CA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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