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1457133282
LIRAN MANOSOV
MODESTO, CA
NPI
1457133282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 109600)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
LIRAN MANOSOV DDS
2020 COFFEE RD STE E1
MODESTO, CA 95355-2421
Phone number: 209-627-6417
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Mailing Address
LIRAN MANOSOV DDS
2619 AURORA ASTORGA DR
TRACY, CA 95376-8202
Phone number: 209-627-6417
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