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1255496782
CHARISE RUBY UNTALAN
LOS ANGELES, CA
NPI
1255496782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 49984)
Enumeration Date
2006-12-26
Last Update Date
2007-07-09
Business Address
Dr. CHARISE RUBY UNTALAN dds
730 S WESTERN AVE STE 202
LOS ANGELES, CA 90005-5901
Phone number: 213-385-3828
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Mailing Address
Dr. CHARISE RUBY UNTALAN dds
5009 ALTA CANYADA RD
LA CANADA, CA 91011-1716
Phone number: 818-952-2630
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