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1396991295
INTERNATIONAL DENTAL PROVIDERS CORP.
CHULA VISTA, CA
NPI
1396991295
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Entity Type
Organization
Authorized Contact
ANGEL SERRANO
Owner
619-691-8180
Organization Subpart ?
Primary Taxonomy
261QD0000X Clinic/Center Dental
(Licence: ZZ 512443)
Enumeration Date
2008-08-11
Last Update Date
2008-08-11
Business Address
INTERNATIONAL DENTAL PROVIDERS CORP.
1594 WOODLARK CT
CHULA VISTA, CA 91911-5321
Phone number: 619-691-8180
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Mailing Address
INTERNATIONAL DENTAL PROVIDERS CORP.
1594 WOODLARK CT
CHULA VISTA, CA 91911-5321
Phone number: 619-691-8180
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