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1790050540
FAVIO ALBERTO LEON
LOS ANGELES, CA
NPI
1790050540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 77346)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Mr. FAVIO ALBERTO LEON rda
2604 S. VERMONT AVE., #F WEST COAST DENTAL GROUP
LOS ANGELES, CA 90007
Phone number: 323-731-3333
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Mailing Address
Mr. FAVIO ALBERTO LEON rda
133 N RENO ST APT 208
LOS ANGELES, CA 90026-4678
Phone number: 213-858-8748
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