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1174076004
GRACE CATHERINE FEDOR
SAN DIEGO, CA
NPI
1174076004
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Former Name
GRACE LIU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 1000550)
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
Dr. GRACE CATHERINE FEDOR D.D.S.
5638 MISSION CENTER RD STE 107
SAN DIEGO, CA 92108-4348
Phone number: 619-220-0159
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Mailing Address
Dr. GRACE CATHERINE FEDOR D.D.S.
11253 MIRO CIR
SAN DIEGO, CA 92131-3313
Phone number: 661-203-4417
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