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1972517217
THERON LANE VINES
REDLANDS, CA
NPI
1972517217
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Other Name
TERRY L VINES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO 34009)
Enumeration Date
2006-07-29
Last Update Date
2007-07-08
Business Address
Dr. THERON LANE VINES D.D.S.
303 BROOKSIDE AVE
REDLANDS, CA 92373-4607
Phone number: 909-793-8837
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Mailing Address
Dr. THERON LANE VINES D.D.S.
303 BROOKSIDE AVE
REDLANDS, CA 92373-4607
Phone number: 909-793-8837
Copy
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