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1891838991
ERIC MICHAEL WALLACE
SANTA BARBARA, CA
NPI
1891838991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 52016)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Dr. ERIC MICHAEL WALLACE dds
1515 STATE ST SUITE 9
SANTA BARBARA, CA 93101-2536
Phone number: 805-962-7933
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Mailing Address
Dr. ERIC MICHAEL WALLACE dds
1515 STATE ST SUITE 9
SANTA BARBARA, CA 93101-2536
Phone number: 805-962-7933
Copy
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