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1578891594
JONATHAN FILLBACH
PETALUMA, CA
NPI
1578891594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 22728)
Enumeration Date
2009-12-02
Last Update Date
2009-12-02
Business Address
Dr. JONATHAN FILLBACH DDS
12 W EL ROSE DR
PETALUMA, CA 94952-4023
Phone number: 707-763-7229
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Mailing Address
Dr. JONATHAN FILLBACH DDS
12 W EL ROSE DR
PETALUMA, CA 94952-4023
Phone number:
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