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1114171667
LESLIE H WALLACE
CAMP PENDLETON, CA
NPI
1114171667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 8882)
Enumeration Date
2008-11-11
Last Update Date
2008-11-11
Business Address
-- LESLIE H WALLACE DR
NAVAL HOSPITAL SANTA MARGARITA ROAD
CAMP PENDLETON, CA 92055
Phone number: 760-725-8882
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Mailing Address
-- LESLIE H WALLACE DR
2360 PASEO DE LAURA UNIT 63
OCEANSIDE, CA 92056-3721
Phone number: 760-725-1200
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