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1891834099
THOMAS SUDIBJO
TUSTIN, CA
NPI
1891834099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 45983)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Dr. THOMAS SUDIBJO DMD
1096 IRVINE BLVD
TUSTIN, CA 92780-3527
Phone number: 714-838-6777
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Mailing Address
Dr. THOMAS SUDIBJO DMD
1096 IRVINE BLVD
TUSTIN, CA 92780-3527
Phone number: 714-838-6777
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