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1740367440
LITA HERMANSJAH
CORONA, CA
NPI
1740367440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 47904)
Enumeration Date
2006-11-01
Last Update Date
2016-04-19
Business Address
-- LITA HERMANSJAH DDS
916 WEST SIXTH STREET
CORONA, CA 92882-3239
Phone number: 951-738-1749
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Mailing Address
-- LITA HERMANSJAH DDS
PO BOX 2769
CORONA, CA 92878-2769
Phone number: 951-738-1749
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