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1376099671
PRERNA VINOD VIJAN
SAN MATEO, CA
NPI
1376099671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA DDS100349)
Enumeration Date
2016-08-28
Last Update Date
2018-01-17
Business Address
PRERNA VINOD VIJAN
4100 S EL CAMINO REAL
SAN MATEO, CA 94403-5131
Phone number: 888-856-0124
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Mailing Address
PRERNA VINOD VIJAN
4100 S EL CAMINO REAL
SAN MATEO, CA 94403-5131
Phone number:
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