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Dr. Wallace Ray Lott JR., DD,S
Periodontist in Torrance, California
NPI 1023143997

Wallace Ray Lott JR. is a Periodontist based in Torrance, CA and is specialized in Periodontics. Wallace Ray Lott JR. practices in Torrance, CA and has the professional credentials of DD,S. The NPI Number for Wallace Ray Lott JR. is 1023143997 and holds a License No. 26466 (California).

The current practice location address for Wallace Ray Lott JR. is 3610 Lomita Blvd Ste 101, Torrance, CA and can be reached out via phone at 310-373-6353 and via fax at 310-373-6153.

Location: 3610 Lomita Blvd Ste 101, Torrance, CA, 90505-3919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023143997
Provider Name
Wallace Ray Lott JR.
Credential
DD,S
Provider Entity Type
Individual
Gender
Male
Address
3610 Lomita Blvd Ste 101, Torrance, CA, 90505-3919
Phone Number
310-373-6353
Fax Number
310-373-6153
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3610 Lomita Blvd Ste 101
City
Torrance
State
California
Zip
90505-3919
Phone Number
310-373-6353
Fax Number
310-373-6153
person
Provider Business Mailing Address Details
Address
3610 Lomita Blvd Ste 101
City
Torrance
State
California
Zip
90505-3919
Phone Number
310-373-6353
Fax Number
310-373-6153
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
26466 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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