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1629241070
JOHN DEAN WALLACE
SANTEE, CA
NPI
1629241070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 22186)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
Dr. JOHN DEAN WALLACE DDS
9913 MISSION GORGE RD UNIT 1
SANTEE, CA 92071-3843
Phone number: 619-448-3214
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Mailing Address
Dr. JOHN DEAN WALLACE DDS
9913 MISSION GORGE RD UNIT 1
SANTEE, CA 92071-3843
Phone number: 619-448-3214
Copy
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