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1306987342
JOSE T FIDEL
STOCKTON, CA
NPI
1306987342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 15660)
Enumeration Date
2007-02-11
Last Update Date
2007-07-08
Business Address
Dr. JOSE T FIDEL D.D.S
756 PORTER AVE SUITE 200
STOCKTON, CA 95207-4232
Phone number: 209-951-0444
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Mailing Address
Dr. JOSE T FIDEL D.D.S
756 PORTER AVE SUITE 200
STOCKTON, CA 95207-4232
Phone number: 209-951-0444
Copy
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