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1548785926
RANDALL JASON EWING
SAN DIEGO, CA
NPI
1548785926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS101708)
Enumeration Date
2017-08-07
Last Update Date
2021-01-08
Business Address
RANDALL JASON EWING DDS
3340 KEMPER ST STE 201
SAN DIEGO, CA 92110-4908
Phone number: 619-224-2828
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Mailing Address
RANDALL JASON EWING DDS
6370 CAMINITO ANDRETA
SAN DIEGO, CA 92111-7205
Phone number: 619-610-8217
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