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1023306891
MATTHEW STEPHEN PACKARD
CARLSBAD, CA
NPI
1023306891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 60498)
Enumeration Date
2011-07-14
Last Update Date
2011-07-14
Business Address
-- MATTHEW STEPHEN PACKARD DDS
725 GRAND AVE
CARLSBAD, CA 92008-2331
Phone number: 760-729-4904
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Mailing Address
-- MATTHEW STEPHEN PACKARD DDS
725 GRAND AVE
CARLSBAD, CA 92008-2331
Phone number: 760-729-4904
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