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1366516023
BLAIR GREGORY OTA
IRVINE, CA
NPI
1366516023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0106X Dentist Oral and Maxillofacial Pathology
(Licence: CA 24159)
Enumeration Date
2006-11-17
Last Update Date
2007-07-09
Business Address
DR. BLAIR GREGORY OTA DDS, MD
4980 BARRANCA PKWY STE 190
IRVINE, CA 92604-8652
Phone number: 949-453-9797
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Mailing Address
DR. BLAIR GREGORY OTA DDS, MD
4980 BARRANCA PKWY STE 190
IRVINE, CA 92604-8652
Phone number: 949-453-9797
Copy
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