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FOUNTAIN VALLEY, CA
NPI1023170370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  46996)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
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10810 WARNER AVE SUITE #1
FOUNTAIN VALLEY, CA 32708
Phone number: 714-965-1093
Mailing Address
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10810 WARNER AVE SUITE #1
FOUNTAIN VALLEY, CA 92708
Phone number: 714-965-1093