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1871020636
VLADIMIR VADER
BEALE AFB, CA
NPI
1871020636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ D009767)
Enumeration Date
2017-05-11
Last Update Date
2023-07-06
Business Address
Dr. VLADIMIR VADER DMD
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1905
Phone number: 530-634-4662
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Mailing Address
Dr. VLADIMIR VADER DMD
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1905
Phone number: 530-634-4662
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