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1700901527
PHIL JAE RA
FONTANA, CA
NPI
1700901527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 47551)
Enumeration Date
2007-03-20
Last Update Date
2015-05-21
Business Address
Dr. PHIL JAE RA D.D.S.
11201 SIERRA AVE SUITE 1F
FONTANA, CA 92337-7581
Phone number: 909-355-3299
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Mailing Address
Dr. PHIL JAE RA D.D.S.
11201 SIERRA AVE SUITE 1F
FONTANA, CA 92337-7581
Phone number: 909-355-3299
Copy
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