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1174796379
LAWRENCE PETER BISAUTA
LINCOLN, CA
NPI
1174796379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 26038)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
LAWRENCE PETER BISAUTA D.D.S.
1975 GLENBROOK LN
LINCOLN, CA 95648-8735
Phone number: 916-434-7041
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Mailing Address
LAWRENCE PETER BISAUTA D.D.S.
1975 GLENBROOK LN
LINCOLN, CA 95648-8735
Phone number: 916-434-7041
Copy
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