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1205986221
KIM-PHUNG THI HA
POMONA, CA
NPI
1205986221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 36548)
Enumeration Date
2007-01-11
Last Update Date
2014-11-03
Business Address
Dr. KIM-PHUNG THI HA DMD
756 E HOLT AVE
POMONA, CA 91767-5628
Phone number: 909-622-8622
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Mailing Address
Dr. KIM-PHUNG THI HA DMD
756 E HOLT AVE
POMONA, CA 91767-5628
Phone number: 909-622-8622
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