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1861010845
KIDEOG PARK
GARDEN GROVE, CA
NPI
1861010845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 102006)
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
KIDEOG PARK
9618 GARDEN GROVE BLVD STE 208
GARDEN GROVE, CA 92844-1566
Phone number: 714-537-9380
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Mailing Address
KIDEOG PARK
9618 GARDEN GROVE BLVD STE 208
GARDEN GROVE, CA 92844-1566
Phone number: 714-537-9380
Copy
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