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1821022880
KENICHI BABA
NEWPORT BEACH, CA
NPI
1821022880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 36518)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. KENICHI BABA D.D.S.
20261 SW ACACIA ST STE 100
NEWPORT BEACH, CA 92660-1717
Phone number: 949-752-6480
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Mailing Address
Dr. KENICHI BABA D.D.S.
20261 SW ACACIA ST STE 100
NEWPORT BEACH, CA 92660-1717
Phone number: 949-752-6480
Copy
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