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1114255569
WALLACE BRUCE MEIKLE
BARSTOW, CA
NPI
1114255569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 27339)
Enumeration Date
2009-11-23
Last Update Date
2009-11-23
Business Address
Dr. WALLACE BRUCE MEIKLE DDS
301 E BUENA VISTA ST
BARSTOW, CA 92311-2803
Phone number: 176-025-6596
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Mailing Address
Dr. WALLACE BRUCE MEIKLE DDS
301 E BUENA VISTA ST
BARSTOW, CA 92311-2803
Phone number: 176-025-6596
Copy
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