National Provider Identifier Database

LESLIE H WALLACE, DR – NPI #1114171667
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

LESLIE H WALLACE, DR
NAVAL HOSPITAL
SANTA MARGARITA ROAD
CAMP PENDLETON, CA92055
Phone: 760-725-8882
Fax: 760-725-8882
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for LESLIE H WALLACE

NPI Number 1114171667
Credentials DR
Entity Individual
Enumeration date 11/11/2008
Last updated 11/11/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • TN License #: 8882
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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