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1558666339
TA GEREB ORTHODONTICS, INC.
LA MESA, CA
NPI
1558666339
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Entity Type
Organization
Authorized Contact
TODD A GEREB
Doctor
619-698-5121
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 40153)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
TA GEREB ORTHODONTICS, INC.
5121 GARFIELD ST
LA MESA, CA 91941-5103
Phone number: 619-698-5121
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Mailing Address
TA GEREB ORTHODONTICS, INC.
5121 GARFIELD ST
LA MESA, CA 91941-5103
Phone number: 619-698-5121
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