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1265894794
MARK TAKEDA
FRESNO, CA
NPI
1265894794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 101863)
Enumeration Date
2016-03-23
Last Update Date
2024-10-31
Business Address
MARK TAKEDA DDS
1394 E ALLUVIAL AVE STE 104
FRESNO, CA 93720-2696
Phone number: 559-226-7464
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Mailing Address
MARK TAKEDA DDS
1394 E ALLUVIAL AVE STE 104
FRESNO, CA 93720-2696
Phone number: 559-226-7464
Copy
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