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1104185792
HERMAWAN TJIOE DDS INC
DELANO, CA
NPI
1104185792
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Entity Type
Organization
Authorized Contact
HERMAWAN TJIOE
President
661-725-1111
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 39900)
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
HERMAWAN TJIOE DDS INC
1313 MAIN ST
DELANO, CA 93215-1766
Phone number: 661-725-1111
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Mailing Address
HERMAWAN TJIOE DDS INC
1313 MAIN ST
DELANO, CA 93215-1766
Phone number: 661-725-1111
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