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1043570658
HOMER GARY KETCHERSIDE
CORONA, CA
NPI
1043570658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 28872)
Enumeration Date
2012-05-17
Last Update Date
2013-07-22
Business Address
-- HOMER GARY KETCHERSIDE D.D.S.,M.S.
720 MAGNOLIA AVE SUITE A1
CORONA, CA 92879-3119
Phone number: 951-737-3800
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Mailing Address
-- HOMER GARY KETCHERSIDE D.D.S.,M.S.
720 MAGNOLIA AVE SUITE A1
CORONA, CA 92879-3119
Phone number: 951-737-3802
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