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1518447507
EDGAR JOSE RIVERA ESTRADA
SAN DIEGO, CA
NPI
1518447507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 63149)
Enumeration Date
2018-08-19
Last Update Date
2018-08-19
Business Address
EDGAR JOSE RIVERA ESTRADA DDS
969 MARKET ST UNIT 1606
SAN DIEGO, CA 92101-7291
Phone number: 619-770-9652
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Mailing Address
EDGAR JOSE RIVERA ESTRADA DDS
969 MARKET ST UNIT 1606
SAN DIEGO, CA 92101-7291
Phone number: 619-770-9652
Copy
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