Lott, Wallace Ray
Lott, Wallace Ray is an sole proprietor health care provider with primary practice located at 3610 Lomita Blvd Ste 101 , Torrance CA 90505-3919. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Lott, Wallace Ray can be contacted via phone (310) 373-6353.Contact Information
Primary practice address
3610 Lomita Blvd Ste 101
Torrance CA 90505-3919
Phone: (310) 373-6353
Fax: (310) 373-6153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 26466 | California |
Profile Details
| NPI number | 1023143997 |
|---|---|
| LBN Legal business name | Lott, Wallace Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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