HOMER GARY KETCHERSIDE

CORONA, CA
NPI1043570658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  28872)
Enumeration Date2012-05-17
Last Update Date2013-07-22
Business Address
-- HOMER GARY KETCHERSIDE D.D.S.,M.S.
720 MAGNOLIA AVE SUITE A1
CORONA, CA 92879-3119
Phone number: 951-737-3800
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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