NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1740323401
 
 
 
KINGDENTAL
646 N LARCHMONT BLVD
LOS ANGELES
CA
900041308
1265594428
KING
FIDELIS
SANTILLAN
 
19139 STARE ST
NORTHRIDGE
CA
913241266
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