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1215176052
MARK ANTHONY CARBAJAL
LOS ANGELES, CA
NPI
1215176052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 449-735654)
Enumeration Date
2009-02-18
Last Update Date
2009-02-18
Business Address
-- MARK ANTHONY CARBAJAL dental assistant
12121 WILSHIRE BLVD STE 1111
LOS ANGELES, CA 90025-1188
Phone number: 213-451-1313
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Mailing Address
-- MARK ANTHONY CARBAJAL dental assistant
2244 W 27TH ST
LOS ANGELES, CA 90018-2529
Phone number: 323-766-8154
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