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1164118873
THOMAS RAY STATER
ALAMEDA, CA
NPI
1164118873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 107632)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
THOMAS RAY STATER
2111 WHITEHALL PL STE C
ALAMEDA, CA 94501-6160
Phone number: 510-523-5323
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Mailing Address
THOMAS RAY STATER
1582 MERITAGE LOOP
BRENTWOOD, CA 94513-6484
Phone number:
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