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1265594428
FIDELIS SANTILLAN KING
LOS ANGELES, CA
NPI
1265594428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 36423)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. FIDELIS SANTILLAN KING D.D.S.
646 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1308
Phone number: 323-464-8677
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Mailing Address
Dr. FIDELIS SANTILLAN KING D.D.S.
19139 STARE ST
NORTHRIDGE, CA 91324-1266
Phone number: 323-464-8677
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