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1174926281
JOCELYNN VIDA SUSTAITA
LONG BEACH, CA
NPI
1174926281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 64080)
Enumeration Date
2014-10-02
Last Update Date
2014-10-08
Business Address
Dr. JOCELYNN VIDA SUSTAITA D.M.D.
141 E WILLOW ST
LONG BEACH, CA 90806-2633
Phone number: 702-524-2466
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Mailing Address
Dr. JOCELYNN VIDA SUSTAITA D.M.D.
8137 DESERT JEWEL CIR
LAS VEGAS, NV 89128-7741
Phone number: 702-524-2466
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