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1720177033
RUSSELL WALLS
ORANGE, CA
NPI
1720177033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 25647)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL WALLS DDS
1665 E LINCOLN AVE
ORANGE, CA 92865-1929
Phone number: 714-637-4182
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Mailing Address
Dr. RUSSELL WALLS DDS
1665 E LINCOLN AVE
ORANGE, CA 92865-1929
Phone number: 714-637-4182
Copy
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