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1720471055
JS LID DDS, INC.
RANCHO CUCAMONGA, CA
NPI
1720471055
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Entity Type
Organization
Authorized Contact
JOHNNY LID
President
676-320-3611
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 51966)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
JS LID DDS, INC.
9791 BASELINE RD.
RANCHO CUCAMONGA, CA 91730
Phone number: 909-987-8779
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Mailing Address
JS LID DDS, INC.
9791 BASELINE RD.
RANCHO CUCAMONGA, CA 91730
Phone number: 909-987-8779
Copy
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