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1477693133
ANNA WITANTO
UNION CITY, CA
NPI
1477693133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 44642)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- ANNA WITANTO D.D.S.
2701 DECOTO RD SUITE 1
UNION CITY, CA 94587-4940
Phone number: 510-489-6900
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Mailing Address
-- ANNA WITANTO D.D.S.
104 RUSH CREEK CT
SAN RAMON, CA 94582-5624
Phone number:
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