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1003968934
MARK STEVEN LISAGOR
CAMARILLO, CA
NPI
1003968934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA D23636)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. MARK STEVEN LISAGOR D.D.S.
3687 LAS POSAS RD #180
CAMARILLO, CA 93010-1482
Phone number: 805-484-2705
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Mailing Address
Dr. MARK STEVEN LISAGOR D.D.S.
477 CALLE HIGUERA
CAMARILLO, CA 93010-1812
Phone number: 805-484-3928
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