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1427139864
LAURIE MATIASEVICH
FAIRFIELD, CA
NPI
1427139864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: CA D23013)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Dr. LAURIE MATIASEVICH DDS
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-784-2120
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Mailing Address
Dr. LAURIE MATIASEVICH DDS
5139 LEONARDO CT.
FAIRFIELD, CA 94534
Phone number: 707-784-2120
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