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1023143997
WALLACE RAY LOTT
TORRANCE, CA
NPI
1023143997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 26466)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. WALLACE RAY LOTT D.D,S
3610 LOMITA BLVD STE 101
TORRANCE, CA 90505-3919
Phone number: 310-373-6353
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Mailing Address
Dr. WALLACE RAY LOTT D.D,S
3610 LOMITA BLVD STE 101
TORRANCE, CA 90505-3919
Phone number: 310-373-6353
Copy
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