IVAN ALEXANDER TERAN

SAN DIEGO, CA
NPI1699007781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  59104)
Enumeration Date2010-02-01
Last Update Date2010-02-01
Business Address
-- IVAN ALEXANDER TERAN
8775 COSTA VERDE BLVD APT 603
SAN DIEGO, CA 92122-5338
Phone number: 858-220-2476
Mailing Address
-- IVAN ALEXANDER TERAN
8775 COSTA VERDE BLVD APT 603
SAN DIEGO, CA 92122-5338
Phone number: 858-220-2476
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