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1629091012
CHRIS ALLEN CERCEO
SOUTH LAKE TAHOE, CA
NPI
1629091012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA DK28289)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
DR. CHRIS ALLEN CERCEO D.D.S.
1077 4TH ST
SOUTH LAKE TAHOE, CA 96150-3459
Phone number: 530-541-1353
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Mailing Address
DR. CHRIS ALLEN CERCEO D.D.S.
1077 4TH ST
SOUTH LAKE TAHOE, CA 96150-3459
Phone number: 530-541-1353
Copy
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