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1932101706
WIJAYA SULAEMAN
SAN BERNARDINO, CA
NPI
1932101706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 37166)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
Dr. WIJAYA SULAEMAN D.D.S., M.A.G.D.
25054 BASE LINE ST
SAN BERNARDINO, CA 92410-4026
Phone number: 909-889-9591
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Mailing Address
Dr. WIJAYA SULAEMAN D.D.S., M.A.G.D.
25054 BASE LINE ST
SAN BERNARDINO, CA 92410-4026
Phone number: 909-889-9591
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