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1154812709
DAVID DEMISSIE
SAN BERNARDINO, CA
NPI
1154812709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS104225)
Enumeration Date
2018-05-18
Last Update Date
2021-04-27
Business Address
DAVID DEMISSIE DDS
1781 N WATERMAN AVE
SAN BERNARDINO, CA 92404-5114
Phone number: 909-882-4988
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Mailing Address
DAVID DEMISSIE DDS
471 N SAN GORGONIO AVE
BANNING, CA 92220-5523
Phone number:
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