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1750687984
PRANEE V POOUDOMSAK
SAN BERNARDINO, CA
NPI
1750687984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 38764)
Enumeration Date
2011-02-05
Last Update Date
2011-02-05
Business Address
Dr. PRANEE V POOUDOMSAK
1850 S WATERMAN AVE STE B
SAN BERNARDINO, CA 92408-2852
Phone number: 909-890-1529
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Mailing Address
Dr. PRANEE V POOUDOMSAK
1850 S WATERMAN AVE STE B
SAN BERNARDINO, CA 92408-2852
Phone number: 909-890-1529
Copy
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