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1518042696
MICHAEL J. WALLACE
AUBURN, CA
NPI
1518042696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 40758)
Enumeration Date
2006-10-26
Last Update Date
2008-07-08
Business Address
-- MICHAEL J. WALLACE DDS
1263 HIGH ST
AUBURN, CA 95603-5016
Phone number: 530-888-1825
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Mailing Address
-- MICHAEL J. WALLACE DDS
1263 HIGH ST
AUBURN, CA 95603-5016
Phone number: 530-888-1825
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