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1215091251
JEREMY IAN FACTOR
LA MESA, CA
NPI
1215091251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: CA 54139)
Enumeration Date
2006-12-21
Last Update Date
2009-11-05
Business Address
DR. JEREMY IAN FACTOR D.D.S.
6080 LAKE MURRAY BLVD SUITE A
LA MESA, CA 91942-2572
Phone number: 619-466-6666
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Mailing Address
DR. JEREMY IAN FACTOR D.D.S.
6080 LAKE MURRAY BLVD SUITE A
LA MESA, CA 91942-2572
Phone number: 619-466-6666
Copy
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