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1821263831
WALLACE C LAIL
DULUTH, GA
NPI
1821263831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: GA 6981)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
WALLACE C LAIL DDS
3415 E LAWRENCEVILLE ST
DULUTH, GA 30096-3354
Phone number: 770-476-5227
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Mailing Address
WALLACE C LAIL DDS
3415 E LAWRENCEVILLE ST
DULUTH, GA 30096-3354
Phone number: 770-476-5227
Copy
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