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1578699641
CHRISTOPHER J WALLACE
SANTA ROSA, CA
NPI
1578699641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30663)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- CHRISTOPHER J WALLACE DDS
1400 TOWNVIEW LN
SANTA ROSA, CA 95405-7538
Phone number: 707-578-8100
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Mailing Address
-- CHRISTOPHER J WALLACE DDS
1400 TOWNVIEW LN
SANTA ROSA, CA 95405-7538
Phone number: 707-578-8100
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