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1316096878
SEVERINO S ENCANRANCION
OAKLAND, CA
NPI
1316096878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 25384)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. SEVERINO S ENCANRANCION dds
1530 BROADWAY
OAKLAND, CA 94612-2002
Phone number: 501-251-1011
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Mailing Address
Dr. SEVERINO S ENCANRANCION dds
1530 BROADWAY
OAKLAND, CA 94612-2002
Phone number: 501-251-1011
Copy
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