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1265783963
CHARLES W BRISCOE
LA JOLLA, CA
NPI
1265783963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 29214)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
DR. CHARLES W BRISCOE DDS
7737 HERSCHEL AVE
LA JOLLA, CA 92037-4406
Phone number: 858-454-3221
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Mailing Address
DR. CHARLES W BRISCOE DDS
7737 HERSCHEL AVE
LA JOLLA, CA 92037-4406
Phone number: 858-454-3221
Copy
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