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1174857023
LTC DERMATOLOGY
NEWPORT BEACH, CA
NPI
1174857023
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Entity Type
Organization
Authorized Contact
TERRY JOEL DUBROW
President
949-515-4111
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA g62109)
Enumeration Date
2009-09-24
Last Update Date
2009-09-24
Business Address
LTC DERMATOLOGY
1617 WESTCLIFF DR #100
NEWPORT BEACH, CA 92660-5524
Phone number: 949-515-4111
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Mailing Address
LTC DERMATOLOGY
1617 WESTCLIFF DR #100
NEWPORT BEACH, CA 92660-5524
Phone number: 949-515-4111
Copy
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