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1649552894
GLORIA J TENGONCIANG
SAN DIEGO, CA
NPI
1649552894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 62187)
Additional Taxonomies
122300000X Dentist
(Licence: PA DS038900)
Enumeration Date
2011-09-14
Last Update Date
2019-08-05
Business Address
GLORIA J TENGONCIANG D.M.D
8787 COMPLEX DR STE 100
SAN DIEGO, CA 92123-1467
Phone number: 989-430-0469
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Mailing Address
GLORIA J TENGONCIANG D.M.D
8787 COMPLEX DR STE 100
SAN DIEGO, CA 92123-1467
Phone number: 989-430-0469
Copy
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