Individual provider · Type 1 NPI

Wallace Ray Lott Jr., D.D, S

Periodontics · Torrance, CA

NPI number 1023143997 Active

Practice location

3610 Lomita Blvd Ste 101
Torrance, CA 90505-3919

Call (310) 373-6353 Map

Fax (310) 373-6153

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X26466 (CA)

Periodontics: 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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About NPI 1023143997

Wallace Ray Lott Jr., D.D, S's National Provider Identifier is 1023143997, issued on Feb 22, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Torrance, CA. The record was last updated on Jul 8, 2007.