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1245396274
JORGE E NIETO
PHILADELPHIA, PA
NPI
1245396274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: PA DS-028100-L)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
JORGE E NIETO R.D.H., D.M.D.
176 W CHEW AVE
PHILADELPHIA, PA 19120-2460
Phone number: 215-924-4677
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Mailing Address
JORGE E NIETO R.D.H., D.M.D.
176 W CHEW AVE
PHILADELPHIA, PA 19120-2460
Phone number: 215-924-4677
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