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1487797254
JACK KAVANAUGH
TORRANCE, CA
NPI
1487797254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 23330)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Mr. JACK KAVANAUGH MD,DDS.
19019 HAWTHORNE BLVD SUITE # 100 B
TORRANCE, CA 90503-1524
Phone number: 310-371-0113
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Mailing Address
Mr. JACK KAVANAUGH MD,DDS.
19019 HAWTHORNE BLVD SUITE # 100 B
TORRANCE, CA 90503-1524
Phone number: 310-371-0113
Copy
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