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1811196504
JUAN J ULLOA
MINOT, ND
NPI
1811196504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL 176)
Enumeration Date
2007-07-13
Last Update Date
2012-05-25
Business Address
-- JUAN J ULLOA DDS
2815 16TH ST SW
MINOT, ND 58701-6914
Phone number: 701-857-2900
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Mailing Address
-- JUAN J ULLOA DDS
PO BOX 5010
MINOT, ND 58702-5010
Phone number: 701-857-5650
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