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1053600601
JONATHAN ROBERT CHANNER
LOMA LINDA, CA
NPI
1053600601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 60052)
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
Dr. JONATHAN ROBERT CHANNER DDS
11092 ANDERSON ST DEPARTMENT OF DENTAL ANESTHESIA
LOMA LINDA, CA 92350-1706
Phone number: 909-558-4611
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Mailing Address
Dr. JONATHAN ROBERT CHANNER DDS
300 W SHENANDOAH AVE
RIDGECREST, CA 93555-7672
Phone number:
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