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Organization
RAFAEL P. SUSTENTO
Active
Organization
RAFAEL P. SUSTENTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL POBLETE SUSTENTO D.D.S. (OWNER)
(661) 799-9828
Entity
Organization
Contact information
Practice address
23206 LYONS AVE STE 208, NEWHALL, CA 91321-2672
(661) 799-9828
(661) 799-9823
Mailing address
23206 LYONS AVE STE 208, NEWHALL, CA 91321-2672
(661) 799-9828
(661) 799-9823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B37168-01
DENTI-CAL
CA
Enumeration date
02/21/2008
Last updated
02/21/2008
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