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1851915789
MATTHEW DESIDERIO
LA MESA, CA
NPI
1851915789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 106958)
Enumeration Date
2020-06-06
Last Update Date
2021-09-24
Business Address
Dr. MATTHEW DESIDERIO DMD
3767 AVOCADO BLVD
LA MESA, CA 91941-7301
Phone number: 619-729-2323
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Mailing Address
Dr. MATTHEW DESIDERIO DMD
424 15TH ST APT 1504
SAN DIEGO, CA 92101-7698
Phone number: 609-781-5660
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