Wallace, Frederick Otto

Wallace, Frederick Otto is an individual health care provider with primary practice located at 530 Lomas Santa Fe Suite #7, Solana Beach CA 92075. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wallace, Frederick Otto can be contacted via phone (858) 755-2414.

Contact Information

Primary practice address
530 Lomas Santa Fe Suite #7 Solana Beach CA 92075
Phone: (858) 755-2414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 29847 California

Profile Details

NPI number 1538261789
LBN Legal business name Wallace, Frederick Otto
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers