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1487133492
THERESA TA
SAN JOSE, CA
NPI
1487133492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS102964)
Enumeration Date
2018-08-09
Last Update Date
2020-11-09
Business Address
THERESA TA DDS
3124 SENTER RD
SAN JOSE, CA 95111-1257
Phone number: 408-583-4888
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Mailing Address
THERESA TA DDS
3124 TERRA COTTA CT
SAN JOSE, CA 95135-2025
Phone number:
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