Mr. Frederick Otto Wallace Iii is a Solana Beach, California based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Frederick Otto Wallace Iii is 29847 for Dentistry in California. His current practice location is 530 Lomas Santa Fe, Suite #7, Solana Beach. Patients can reach him at 858-755-2414.
Mr. Frederick Otto Wallace Iii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Frederick Otto Wallace Iii 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:
Mr. Frederick Otto Wallace Iii
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
530 Lomas Santa Fe, Suite #7, Solana Beach, California, 92075
Phone:
858-755-2414
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:
1538261789
NPI Enumeration Date:
01 Sep, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Frederick Otto Wallace Iii are as mentioned below.
License Number
Specialization
State
Status
29847
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:
530 Lomas Santa Fe, Suite #7 Solana Beach, California
Zip:
92075
Phone Number:
858-755-2414
Patients can reach Mr. Frederick Otto Wallace Iii at 530 Lomas Santa Fe, Suite #7, Solana Beach, California or can call to book an appointment on 858-755-2414. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.