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1295801561
DR PABLO ENRIQUE LICIAGA DDS
SAN DIEGO, CA
NPI
1295801561
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Entity Type
Organization
Authorized Contact
PABLO ENRIQUE LICIAGA
Dentist
619-224-2986
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 49365)
Enumeration Date
2006-11-28
Last Update Date
2015-01-28
Business Address
DR PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986
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Mailing Address
DR PABLO ENRIQUE LICIAGA DDS
2115 BACON ST
SAN DIEGO, CA 92107
Phone number: 619-224-2986
Copy
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