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1417167388
GIDEON G EVANGELISTA
LOS ANGELES, CA
NPI
1417167388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 32066)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. GIDEON G EVANGELISTA DDS
5029 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-1923
Phone number: 323-256-4306
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Mailing Address
Dr. GIDEON G EVANGELISTA DDS
5029 EAGLE ROCK BLVD
LOS ANGELES, CA 90041-1923
Phone number: 323-256-4306
Copy
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