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1154762599
JUN SOETANTO
CLEVELAND, OH
NPI
1154762599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OH RES 33.79)
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
Dr. JUN SOETANTO DMD
11201 SHAKER BLVD SUITE 136
CLEVELAND, OH 44104-3869
Phone number: 216-368-7238
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Mailing Address
Dr. JUN SOETANTO DMD
11201 SHAKER BLVD SUITE 136
CLEVELAND, OH 44104-3869
Phone number: 216-368-7238
Copy
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