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1033126677
PABLO ENRIQUE LICIAGA
SAN DIEGO, CA
NPI
1033126677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 49365)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986
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Mailing Address
-- PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986
Copy
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