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1346893468
JUAN JOSE GONZALEZ BONIFACIO
LOS ANGELES, CA
NPI
1346893468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA RDA92496)
Enumeration Date
2019-07-17
Last Update Date
2019-07-17
Business Address
JUAN JOSE GONZALEZ BONIFACIO
5162 WHITTIER BLVD
LOS ANGELES, CA 90022-3932
Phone number: 323-510-5920
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Mailing Address
JUAN JOSE GONZALEZ BONIFACIO
488 S BURLINGTON AVE
LOS ANGELES, CA 90057-3006
Phone number: 213-318-1079
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