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Individual

CRAIG B PURSUIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8729 LA TIJERA BL, LA, CA 90045
(310) 670-2646
(310) 670-1618
Mailing address
8729 LA TIJERA BL, LA, CA 90045
(310) 670-2646
(310) 670-1618

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23368
CA

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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