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1174645170
SCOTT ALAN WALLACE
BAKERSFIELD, CA
NPI
1174645170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 38147)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Dr. SCOTT ALAN WALLACE DDS
4801 WILSON RD SUITE B
BAKERSFIELD, CA 93309-4703
Phone number: 661-834-5005
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Mailing Address
Dr. SCOTT ALAN WALLACE DDS
4801 WILSON RD SUITE B
BAKERSFIELD, CA 93309-4703
Phone number: 661-834-5005
Copy
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