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1215318241
LAUREN WALLACE
DECATUR, AL
NPI
1215318241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AL 6194)
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
Dr. LAUREN WALLACE D.M.D
1306 14TH AVE SE
DECATUR, AL 35601-4346
Phone number: 256-350-5810
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Mailing Address
Dr. LAUREN WALLACE D.M.D
613 HALEY ANN DR SW
HARTSELLE, AL 35640-3812
Phone number: 256-466-3131
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