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1598828840
WALLACE WAYNE HANCOCK
FAIRFIELD, CA
NPI
1598828840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 19504)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- WALLACE WAYNE HANCOCK DDS
1900 PENNSYLVANIA AVE
FAIRFIELD, CA 94533-3690
Phone number: 707-427-1026
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Mailing Address
-- WALLACE WAYNE HANCOCK DDS
1900 PENNSYLVANIA AVE
FAIRFIELD, CA 94533-3690
Phone number: 707-427-1026
Copy
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