WALLACE RAY BLACKWELDER

ROWLAND HEIGHTS, CA
NPI1801915939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  031897)
Enumeration Date2007-03-28
Last Update Date2012-06-13
Business Address
Dr. WALLACE RAY BLACKWELDER D.D.S.
19728 COLIMA RD
ROWLAND HEIGHTS, CA 91748-3210
Phone number: 909-594-1758
Mailing Address
Dr. WALLACE RAY BLACKWELDER D.D.S.
19728 COLIMA RD
ROWLAND HEIGHTS, CA 91748-3210
Phone number: 909-594-1758
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