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1558987487
IVANA RACIC
SAN DIEGO, CA
NPI
1558987487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 104932)
Enumeration Date
2020-06-16
Last Update Date
2021-05-30
Business Address
IVANA RACIC DDS
230 W G ST STE H
SAN DIEGO, CA 92101-6026
Phone number: 843-489-6692
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Mailing Address
IVANA RACIC DDS
230 W G ST STE H
SAN DIEGO, CA 92101-6026
Phone number: 843-489-6692
Copy
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