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1104279579
IDA ALFONSO DMD INC
CARLSBAD, CA
NPI
1104279579
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Entity Type
Organization
Authorized Contact
IDA ALFONSO
Owner
760-931-0144
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
IDA ALFONSO DMD INC
5814 VAN ALLEN WAY
CARLSBAD, CA 92008-7358
Phone number: 760-931-0144
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Mailing Address
IDA ALFONSO DMD INC
5814 VAN ALLEN WAY
CARLSBAD, CA 92008-7358
Phone number: 760-931-0144
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