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1518169747
KEJEN PI CORSA
FAIRFIELD, CA
NPI
1518169747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 25130)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
Dr. KEJEN PI CORSA DDS
1545 N TEXAS ST SUITE 311
FAIRFIELD, CA 94533-5623
Phone number: 707-422-2410
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Mailing Address
Dr. KEJEN PI CORSA DDS
432 YORK DR
BENICIA, CA 94510-1425
Phone number: 707-745-6982
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