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1104400928
JUSTIN P LIGGETT DDS INC
SONORA, CA
NPI
1104400928
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Entity Type
Organization
Authorized Contact
JUSTIN PAGE LIGGETT
Dentist
209-532-7418
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-05-07
Last Update Date
2021-09-23
Business Address
JUSTIN P LIGGETT DDS INC
765 MORNING STAR DR
SONORA, CA 95370-5193
Phone number: 209-532-7418
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Mailing Address
JUSTIN P LIGGETT DDS INC
765 MORNING STAR DR
SONORA, CA 95370-5193
Phone number: 209-532-7418
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