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1992315998
TATYANA PROSOLUPOVA
TORRANCE, CA
NPI
1992315998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 105166)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
TATYANA PROSOLUPOVA
1431 W KNOX ST STE 800
TORRANCE, CA 90501-1358
Phone number: 310-320-1180
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Mailing Address
TATYANA PROSOLUPOVA
518 11TH ST APT C
HERMOSA BEACH, CA 90254-4296
Phone number: 213-239-4181
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