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1124631106
NATANAEL POENARU
FORT BRAGG, CA
NPI
1124631106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 107150)
Additional Taxonomies
122300000X Dentist
(Licence: WA TP61101182)
Enumeration Date
2020-08-28
Last Update Date
2022-11-29
Business Address
NATANAEL POENARU DDS
825 SEQUOIA CIR
FORT BRAGG, CA 95437-5422
Phone number: 509-675-0314
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Mailing Address
NATANAEL POENARU DDS
825 SEQUOIA CIR
FORT BRAGG, CA 95437-5422
Phone number: 509-675-0314
Copy
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