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1093989956
SURENDRA PRASAD BALGOBIND
MODESTO, CA
NPI
1093989956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 40411)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
-- SURENDRA PRASAD BALGOBIND D.D.S
1429 COLLEGE AVE
MODESTO, CA 95350-4057
Phone number: 209-527-5115
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Mailing Address
-- SURENDRA PRASAD BALGOBIND D.D.S
1429 COLLEGE AVE
MODESTO, CA 95350-4057
Phone number: 209-527-5115
Copy
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