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1275665994
EDDY B SUGIARTO
LA HABRA, CA
NPI
1275665994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 31145)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- EDDY B SUGIARTO dds
1400 LAS PALMAS DR #1
LA HABRA, CA 90631-7504
Phone number: 714-525-2381
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Mailing Address
-- EDDY B SUGIARTO dds
1400 LAS PALMAS DR #1
LA HABRA, CA 90631-7504
Phone number: 714-525-2381
Copy
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