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1679766554
WILLIAM REVIE, KENNETH BRITTON
SAN DIEGO, CA
NPI
1679766554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 56035)
Enumeration Date
2007-08-23
Last Update Date
2014-07-03
Business Address
-- WILLIAM REVIE, KENNETH BRITTON
9292 MIRA MESA BLVD
SAN DIEGO, CA 92126-4806
Phone number: 858-566-4200
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Mailing Address
-- WILLIAM REVIE, KENNETH BRITTON
6148 PASEO GRANITO
CARLSBAD, CA 92009-2274
Phone number: 562-832-2489
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