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1255425609
JOHN S KISHIBAY
SANTA MONICA, CA
NPI
1255425609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 27778)
Enumeration Date
2006-10-02
Last Update Date
2012-12-04
Business Address
-- JOHN S KISHIBAY DMD
2601 OCEAN PARK BLVD 304
SANTA MONICA, CA 90405-5210
Phone number: 310-581-5757
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Mailing Address
-- JOHN S KISHIBAY DMD
2601 OCEAN PARK BLVD 304
SANTA MONICA, CA 90405-5210
Phone number: 310-581-5757
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