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1205157013
KENNETH HENRY NUSSEN
SANTA MONICA, CA
NPI
1205157013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 31680)
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
Dr. KENNETH HENRY NUSSEN D.D.S.
728 18TH ST
SANTA MONICA, CA 90402-3020
Phone number: 310-395-1888
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Mailing Address
Dr. KENNETH HENRY NUSSEN D.D.S.
728 18TH ST
SANTA MONICA, CA 90402-3020
Phone number: 310-395-1888
Copy
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