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1740409820
JASON DANIEL MIRABILE
SANTA MONICA, CA
NPI
1740409820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 49147)
Enumeration Date
2007-04-25
Last Update Date
2014-08-11
Business Address
Dr. JASON DANIEL MIRABILE D.D.S.
1304 15TH ST STE 305
SANTA MONICA, CA 90404-1812
Phone number: 310-319-9300
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Mailing Address
Dr. JASON DANIEL MIRABILE D.D.S.
1304 15TH ST STE 305
SANTA MONICA, CA 90404-1812
Phone number: 310-319-9300
Copy
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