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1285816793
MIRIAM VITA VAN ALLEN
LAKEWOOD, CA
NPI
1285816793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 53958)
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
-- MIRIAM VITA VAN ALLEN D.D.S.
5920 DEL AMO BLVD
LAKEWOOD, CA 90713-1949
Phone number: 562-496-2000
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Mailing Address
-- MIRIAM VITA VAN ALLEN D.D.S.
5920 DEL AMO BLVD
LAKEWOOD, CA 90713-1949
Phone number: 310-500-9782
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