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1891924205
LAUREN F. WALLACE
SHREVEPORT, LA
NPI
1891924205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: LA 4743)
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
Dr. LAUREN F. WALLACE DDS
318 CARROLL ST
SHREVEPORT, LA 71105-4132
Phone number: 318-865-2250
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Mailing Address
Dr. LAUREN F. WALLACE DDS
318 CARROLL ST
SHREVEPORT, LA 71105-4132
Phone number: 318-865-2250
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