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1740331933
CLERA SUSAN WIJEWARDENE
SIMI VALLEY, CA
NPI
1740331933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 37754)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
Dr. CLERA SUSAN WIJEWARDENE
1397 E LOS ANGELES AVE
SIMI VALLEY, CA 93065-2866
Phone number: 805-527-8991
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Mailing Address
Dr. CLERA SUSAN WIJEWARDENE
11845 STONE GATE WAY
PORTER RANCH, CA 91326-4033
Phone number:
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