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1205982311
HARTANTO LAWRENCE JUSTIN
LOS ANGELES, CA
NPI
1205982311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 39019)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Dr. HARTANTO LAWRENCE JUSTIN DDS.
3231 N BROADWAY
LOS ANGELES, CA 90031-2801
Phone number: 323-221-6090
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Mailing Address
Dr. HARTANTO LAWRENCE JUSTIN DDS.
3231 NORTH BROADWAY
LOS ANGELES, CA 90031
Phone number: 323-221-6090
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