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1497870240
LUCAS B. SETIADY
CHINO, CA
NPI
1497870240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 35548)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. LUCAS B. SETIADY D.D.S.
12555 CENTRAL AVE STE B
CHINO, CA 91710-3569
Phone number: 909-627-0988
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Mailing Address
Dr. LUCAS B. SETIADY D.D.S.
12555 CENTRAL AVE STE B
CHINO, CA 91710-3569
Phone number: 909-627-0988
Copy
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