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1194003178
THERESA TA
PALO ALTO, CA
NPI
1194003178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-07-26
Last Update Date
2011-07-26
Business Address
-- THERESA TA D.D.S.
3801 MIRANDA AVE DENTAL SERVICES (160)
PALO ALTO, CA 94304-1207
Phone number: 650-493-5000
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Mailing Address
-- THERESA TA D.D.S.
1931 EDGEFORT CT
SAN JOSE, CA 95122-4008
Phone number: 408-531-7477
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