DR. Wallace Ray Lott JR., D.D,S
NPI #1023143997 in Torrance, California
Provider Information
- NPI Number
- 1023143997
- Entity Type
- Individual
- Name
- DR. Wallace Ray Lott JR., D.D,S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.D,S
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3610 LOMITA BLVD STE 101
- City
- Torrance
- State
- California
- ZIP Code
- 90505-3919
- Phone
- (310) 373-6353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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