Wallace Lott, D.D,S

NPI 1023143997 · on the registry since 2007 · sole proprietor

Practice

Address: 3610 Lomita Blvd Ste 101
Torrance, CA 90505
Phone: (310) 373-6353
Fax: (310) 373-6153
Organisation at this address: Mataria Dental Group Pc
Gloria Luong, Dmd, Ms, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223P0300X
1223P0300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California