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1962057133
LAIS MOHAMMED LODIN
FREMONT, CA
NPI
1962057133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 104240)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
LAIS MOHAMMED LODIN
2895 FREEMAN PL
FREMONT, CA 94555-1413
Phone number: 510-586-8017
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Mailing Address
LAIS MOHAMMED LODIN
2895 FREEMAN PL
FREMONT, CA 94555-1413
Phone number: 510-586-8017
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