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1457526568
IDA DELOS SANTOS ALFONSO
CARLSBAD, CA
NPI
1457526568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 53572)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
-- IDA DELOS SANTOS ALFONSO
5814 VAN ALLEN WAY STE 205
CARLSBAD, CA 92008-7360
Phone number: 760-931-0144
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Mailing Address
-- IDA DELOS SANTOS ALFONSO
5814 VAN ALLEN WAY SUITE #205
CARLSBAD, CA 92008
Phone number: 760-931-0144
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