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1639400609
JOSE DANIEL DE JESUS
LOS ANGELES, CA
NPI
1639400609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 74403)
Enumeration Date
2010-01-14
Last Update Date
2010-01-14
Business Address
Mr. JOSE DANIEL DE JESUS
12121 WILSHIRE BLVD
LOS ANGELES, CA 90025-1123
Phone number: 310-820-9933
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Mailing Address
Mr. JOSE DANIEL DE JESUS
5816 LEMP AVE
NORTH HOLLYWOOD, CA 91601-1023
Phone number: 818-310-7779
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