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1124342654
SALLY LANDIS
SAN RAFAEL, CA
NPI
1124342654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 39958)
Enumeration Date
2010-03-26
Last Update Date
2010-03-26
Business Address
-- SALLY LANDIS RDA
411 4TH ST
SAN RAFAEL, CA 94901-5716
Phone number: 415-473-5450
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Mailing Address
-- SALLY LANDIS RDA
411 4TH ST
SAN RAFAEL, CA 94901-5716
Phone number: 415-473-5450
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