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1801085758
MARIBEL VICENTE
LA MESA, CA
NPI
1801085758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 42707)
Enumeration Date
2007-10-16
Last Update Date
2007-10-29
Business Address
Dr. MARIBEL VICENTE DMD
5555 JACKSON DR 210
LA MESA, CA 91942-2452
Phone number: 619-462-3552
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Mailing Address
Dr. MARIBEL VICENTE DMD
5555 JACKSON DR 210
LA MESA, CA 91942-2452
Phone number: 619-462-3552
Copy
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