Glynis Dynel Wallace is a San Pedro, California based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Glynis Dynel Wallace is 37179 for General Practice Dentistry in California. Her current practice location is 779 W 20th St Apt 7, San Pedro. Patients can reach her at 562-221-1852.
Glynis Dynel Wallace is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Glynis Dynel Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Glynis Dynel Wallace
Specialization:
Dentist
Gender:
Female
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
779 W 20th St Apt 7, San Pedro, California, 90731-5359
Phone:
562-221-1852
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1669779732
NPI Enumeration Date:
24 Feb, 2011
NPI Last Update On:
24 Feb, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glynis Dynel Wallace are as mentioned below.
License Number
Specialization
State
Status
37179
General Practice Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
779 W 20th St Apt 7, San Pedro, California
Zip:
90731-5359
Phone Number:
562-221-1852
Patients can reach Glynis Dynel Wallace at 779 W 20th St Apt 7, San Pedro, California or can call to book an appointment on 562-221-1852. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.