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1689681041
KIM EUGENE WALLACE
DAVIS, CA
NPI
1689681041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 22932)
Enumeration Date
2006-08-01
Last Update Date
2016-05-11
Business Address
-- KIM EUGENE WALLACE D.D.S.
635 ANDERSON RD SUITE 17
DAVIS, CA 95616-3505
Phone number: 530-757-6453
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Mailing Address
-- KIM EUGENE WALLACE D.D.S.
635 ANDERSON RD SUITE 17
DAVIS, CA 95616-3505
Phone number: 530-757-6453
Copy
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