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Individual
JUAN PABLO FALABELLA
Active
Individual
JUAN PABLO FALABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G94054-01
DENTI-CAL
CA
Enumeration date
12/28/2006
Last updated
07/08/2007
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