Wallis, Kenneth Gregg
Wallis, Kenneth Gregg is an sole proprietor health care provider with primary practice located at 265 Crestview Dr , Santa Clara CA 95050-6503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wallis, Kenneth Gregg can be contacted via phone (408) 248-6777.Contact Information
Primary practice address
265 Crestview Dr
Santa Clara CA 95050-6503
Phone: (408) 248-6777
Fax: (408) 248-1947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 34914 | California |
Profile Details
| NPI number | 1538350038 |
|---|---|
| LBN Legal business name | Wallis, Kenneth Gregg |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Aug 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.
Popular Providers
-
Jensen, Shirley J.
2660 Homestead Rd , Santa Clara CA 95051-5351 -
Sok, Joong Seop
225 Washington St Ste C, Santa Clara CA 95050-5975 -
De La Vega, Michelle Lynson
1210 Homestead Rd , Santa Clara CA 95050-5405 -
Liu, Kwang-Ta
1150 Scott Blvd Ste C1 , Santa Clara CA 95050-4547 -
Balabanian, Rafi
1961 Pruneridge Ave Suite A, Santa Clara CA 95050-6575 -
Panis, Remelita Soriano
2206 Lafayette Street , Santa Clara CA 95050-2904 -
Lee, Tommy P.
3967 Rivermark Plz , Santa Clara CA 95054-4156 -
Lebar, Tony
1240 Scott Blvd , Santa Clara CA 95051