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1003948563
CHARLES ALBERT MATTISON
INGLEWOOD, CA
NPI
1003948563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 21034)
Enumeration Date
2007-03-11
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ALBERT MATTISON D.D.S.
933 CENTINELA AVE
INGLEWOOD, CA 90302-1501
Phone number: 310-677-4085
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Mailing Address
Dr. CHARLES ALBERT MATTISON D.D.S.
933 CENTINELA AVE
INGLEWOOD, CA 90302-1501
Phone number: 310-677-4085
Copy
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