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1790798031
WILFRED BALTAZAR
SAN DIEGO, CA
NPI
1790798031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30103)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Dr. WILFRED BALTAZAR DDS
9329 MIRA MESA BLVD
SAN DIEGO, CA 92126-4816
Phone number: 858-693-8448
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Mailing Address
Dr. WILFRED BALTAZAR DDS
9329 MIRA MESA BLVD
SAN DIEGO, CA 92126-4816
Phone number: 858-693-8448
Copy
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