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1154817138
DIANA HEINEKEN
CHULA VISTA, CA
NPI
1154817138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 102651)
Enumeration Date
2018-07-02
Last Update Date
2019-08-19
Business Address
DIANA HEINEKEN DMD
1415 RIDGEBACK RD STE 26
CHULA VISTA, CA 91910-6990
Phone number: 619-482-3264
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Mailing Address
DIANA HEINEKEN DMD
1907 COLUMBIA ST APT 400
SAN DIEGO, CA 92101-2219
Phone number: 909-844-9829
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