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1366479230
ERIC BOLES WALL
STOCKTON, CA
NPI
1366479230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 26796)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. ERIC BOLES WALL dds
6529 INGLEWOOD AVE A-1
STOCKTON, CA 95207-3864
Phone number: 209-473-3788
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Mailing Address
Dr. ERIC BOLES WALL dds
6529 INGLEWOOD AVE A-1
STOCKTON, CA 95207-3864
Phone number: 209-473-3788
Copy
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