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1134316052
AWNIE A AMMAR, DDS, PROFESSIONAL DENTAL CORPORATION
MANTECA, CA
NPI
1134316052
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Entity Type
Organization
Authorized Contact
AWNIE A AMMAR
President
209-239-7779
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 42094)
Enumeration Date
2007-09-25
Last Update Date
2007-09-25
Business Address
AWNIE A AMMAR, DDS, PROFESSIONAL DENTAL CORPORATION
1104 N MAIN ST
MANTECA, CA 95336-3208
Phone number: 209-239-7779
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Mailing Address
AWNIE A AMMAR, DDS, PROFESSIONAL DENTAL CORPORATION
1104 N MAIN ST
MANTECA, CA 95336-3208
Phone number: 209-239-7779
Copy
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