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1962817882
IAN IWANE DDS
BERKELEY, CA
NPI
1962817882
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Entity Type
Organization
Authorized Contact
IAN MICHIO IWANE
Owner
415-845-0217
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 52870)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
IAN IWANE DDS
1536 BLAKE ST NONE
BERKELEY, CA 94703-1806
Phone number: 415-845-0217
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Mailing Address
IAN IWANE DDS
1536 BLAKE ST NONE
BERKELEY, CA 94703-1806
Phone number: 415-845-0217
Copy
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