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1487433256
MAALIK KONOP-DEFREITAS
LOS ANGELES, CA
NPI
1487433256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 109508)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
MAALIK KONOP-DEFREITAS
4425 S CENTRAL AVE
LOS ANGELES, CA 90011-3629
Phone number: 323-908-4200
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Mailing Address
MAALIK KONOP-DEFREITAS
11131 ROSE AVE APT 9
LOS ANGELES, CA 90034-6019
Phone number: 651-470-5681
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