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1013905447
LUIS E REAL
CHULA VISTA, CA
NPI
1013905447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 52460)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
-- LUIS E REAL D.D.S.
690 E ST
CHULA VISTA, CA 91910-2113
Phone number: 619-425-2122
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Mailing Address
-- LUIS E REAL D.D.S.
690 E ST
CHULA VISTA, CA 91910-2113
Phone number: 619-425-2122
Copy
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