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1114297447
IDENIS FUNDORA
LOS ANGELES, CA
NPI
1114297447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 47621)
Enumeration Date
2012-01-03
Last Update Date
2012-01-03
Business Address
Dr. IDENIS FUNDORA DDS
9201 W SUNSET BLVD STE 315
LOS ANGELES, CA 90069-3704
Phone number: 310-274-7124
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Mailing Address
Dr. IDENIS FUNDORA DDS
9201 W SUNSET BLVD STE 315
LOS ANGELES, CA 90069-3704
Phone number: 310-274-7124
Copy
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