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1982897534
MICHAEL OTTWIT VONGPHOE
RANCHO CUCAMONGA, CA
NPI
1982897534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 55928)
Enumeration Date
2007-08-27
Last Update Date
2007-08-27
Business Address
Dr. MICHAEL OTTWIT VONGPHOE DDS.
9235 TIMBERLINE LN APT C
RANCHO CUCAMONGA, CA 91730-6520
Phone number: 909-910-2929
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Mailing Address
Dr. MICHAEL OTTWIT VONGPHOE DDS.
9235 TIMBERLINE LN APT C
RANCHO CUCAMONGA, CA 91730-6520
Phone number: 909-910-2929
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