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1992072060
JESSICA V FUENTES-COLASSE
SANTA ROSA, CA
NPI
1992072060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 61011)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
Dr. JESSICA V FUENTES-COLASSE D.D.S
1144 SONOMA AVE STE 108
SANTA ROSA, CA 95405-4812
Phone number: 707-523-2399
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Mailing Address
Dr. JESSICA V FUENTES-COLASSE D.D.S
716 YACHT HARBOR DR UNIT 204
LAS VEGAS, NV 89145-2904
Phone number: 702-716-5938
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