Frederick Otto Wallace III
ExpiredCalifornia license 29847
License
- Licensed by
- Dental Board of California
- License number
- 29847
- Status
- Expired (Delinquent)
- First issued
- June 24, 1981
- Expired
- July 31, 2026
- License holder
- Frederick Otto Wallace III
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
530 Lomas Santa Fe Drive
East Building Suite 7
Solana Beach, CA 92075
East Building Suite 7
Solana Beach, CA 92075
San Diego County