Roger Wahlman, D.D.S.
Dentist, General Practice in Angels Camp, CA. Individual provider (NPI-1).
NPI number1790762375
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790762375
- Entity type
- Individual (NPI-1)
- Name
- Roger Wahlman
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 23394 | CA | Yes |
Practice location
571 Stanislaus Ave.Angels Camp, CA 95221
Phone 209-736-4641
Mailing address
Po Box 820Altaville, CA 95221-0820
Phone 209-736-4641
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