Wallace Ray Lott JR. D.D,S

NPI 1023143997 - Dentist - 1223P0300X

NPI Details
NPI 1023143997
Gender Male
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3610 LOMITA BLVD STE 101
TORRANCE CA, 90505-3919, US
Phone (310) 373-6353
Fax (310) 373-6153
Business Location
3610 LOMITA BLVD STE 101
TORRANCE CA, 90505-3919, US
Phone (310) 373-6353
Fax (310) 373-6153
Toxanomy
Taxonomy Code 1223P0300X
License State California
License Number 26466
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According to our database, Dr. Wallace Ray Lott JR. D.D,S NPI is 1023143997, taxonomy code is 1223P0300X and license number is 26466, license state is located at California. Wallace Ray Lott JR. D.D,S physically located at 3610 Lomita Blvd Ste 101, Torrance CA, 90505-3919. NPI Number Wallace Ray Lott JR. D.D,S has the Individual type.

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1023143997 NPI number is provided on an as is basis without warranty of any kind. 1023143997 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Ray Lott JR. D.D,S are for informational purposes only.