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Individual

MR. STAN CZERWINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMD

Contact information

Practice address
400 MOBIL AVE, SUITE A3, CAMARILLO, CA 93010-6338
(805) 987-0632
Mailing address
400 MOBIL AVE, SUITE A3, CAMARILLO, CA 93010-6338
(805) 987-0632

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
17841
CA

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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