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1659598373
FAUSTO RENATO PRATO
STOCKTON, CA
NPI
1659598373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 25970)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Dr. FAUSTO RENATO PRATO D.D.S.
4255 PACIFIC AVE SUITE 14
STOCKTON, CA 95207-7638
Phone number: 209-952-5454
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Mailing Address
Dr. FAUSTO RENATO PRATO D.D.S.
4255 PACIFIC AVE SUITE 14
STOCKTON, CA 95207-7638
Phone number: 209-952-5454
Copy
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