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1740272970
SERGIEI BROUNTCHENKO
FRESNO, CA
NPI
1740272970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 42278)
Enumeration Date
2005-08-15
Last Update Date
2020-03-12
Business Address
SERGIEI BROUNTCHENKO DDS
4577 E KINGS CANYON RD, SUITE #102
FRESNO, CA 93702-3717
Phone number: 559-454-0777
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Mailing Address
SERGIEI BROUNTCHENKO DDS
4577 E KINGS CANYON RD, SUITE #102
FRESNO, CA 93702-3717
Phone number: 559-454-0777
Copy
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