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1578211801
BRANDON KIAN GINO MAROON
CHULA VISTA, CA
NPI
1578211801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 107362)
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
BRANDON KIAN GINO MAROON DDS
310 3RD AVE STE C1B
CHULA VISTA, CA 91910-3954
Phone number: 619-476-1600
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Mailing Address
BRANDON KIAN GINO MAROON DDS
PO BOX 3104
RANCHO SANTA FE, CA 92067-3104
Phone number: 858-386-6363
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