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1134736366
MEL-ANIZI ABANTE BERSABA
LOMA LINDA, CA
NPI
1134736366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS102180)
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
Dr. MEL-ANIZI ABANTE BERSABA DDS
11092 ANDERSON ST
LOMA LINDA, CA 92350-1706
Phone number: 909-558-8187
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Mailing Address
Dr. MEL-ANIZI ABANTE BERSABA DDS
12481 KOKOMO CT
VICTORVILLE, CA 92392-6780
Phone number: 775-303-3404
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