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1629665393
CARLENE ANN MENDIETA
SAN FRANCISCO, CA
NPI
1629665393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 34741)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
CARLENE ANN MENDIETA
155 5TH ST
SAN FRANCISCO, CA 94103-2919
Phone number: 415-929-6501
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Mailing Address
CARLENE ANN MENDIETA
19500 7TH ST E
SONOMA, CA 95476-7201
Phone number:
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