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1861503765
ELIZABETH A DEMICHELIS
MODESTO, CA
NPI
1861503765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 40427)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- ELIZABETH A DEMICHELIS DDS
1207 14TH STREET
MODESTO, CA 95354
Phone number: 209-522-2348
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Mailing Address
-- ELIZABETH A DEMICHELIS DDS
1207 14TH STREET
MODESTO, CA 95354
Phone number: 209-522-2348
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