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1639540636
JONATHAN BASIAGO
LONG BEACH, CA
NPI
1639540636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 65149)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
Dr. JONATHAN BASIAGO DDS
5373 E VILLAGE RD
LONG BEACH, CA 90808-1600
Phone number: 562-429-5965
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Mailing Address
Dr. JONATHAN BASIAGO DDS
5373 E VILLAGE RD
LONG BEACH, CA 90808-1600
Phone number:
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