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1508976325
EDWIN LEONARD DEGOLIA
SANTA ROSA, CA
NPI
1508976325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 31242)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. EDWIN LEONARD DEGOLIA D.D.S.
80 DOCTORS PARK DR
SANTA ROSA, CA 95405-6615
Phone number: 707-542-5125
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Mailing Address
Dr. EDWIN LEONARD DEGOLIA D.D.S.
80 DOCTORS PARK DR
SANTA ROSA, CA 95405-6615
Phone number: 707-542-5125
Copy
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