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1841318151
DOUG TAKEUCHI
SAN JOSE, CA
NPI
1841318151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 42097)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Dr. DOUG TAKEUCHI DDS
189 N BASCOM AVE STE. 110
SAN JOSE, CA 95128-1869
Phone number: 408-295-5651
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Mailing Address
Dr. DOUG TAKEUCHI DDS
1121 RAJKOVICH WAY
SAN JOSE, CA 95120-3146
Phone number: 408-268-5541
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