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1750839957
JAIME V. EVANGELISTA, JR
HAYWARD, CA
NPI
1750839957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 37103)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- JAIME V. EVANGELISTA, JR dmd
24901 SANTA CLARA ST # B2
HAYWARD, CA 94544-2147
Phone number: 510-887-6835
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Mailing Address
-- JAIME V. EVANGELISTA, JR dmd
24901 SANTA CLARA ST # B2 HAYWARD
HAYWARD, CA 94544-2147
Phone number: 510-887-6835
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