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1407903776
KHALED EISSA
HEMET, CA
NPI
1407903776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 59237)
Additional Taxonomies
122300000X Dentist
(Licence: MN D12352)
Enumeration Date
2007-01-05
Last Update Date
2010-08-17
Business Address
-- KHALED EISSA BDS
1935 DAINTY WAY
HEMET, CA 92545-8960
Phone number: 763-587-8345
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Mailing Address
-- KHALED EISSA BDS
1935 DAINTY WAY
HEMET, CA 92545-8960
Phone number: 763-587-8345
Copy
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