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Individual
DR. WALLIS E ANDELIN
Active
Individual
DR. WALLIS E ANDELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., MS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
33229
CA
Other
Enumeration date
02/28/2007
Last updated
08/18/2010
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