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DR. ISABELA LOREDANA PUTZLACHER DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1184705105

Individual Registrant:
DR. ISABELA LOREDANA PUTZLACHER DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
561 WICKLUND CROSSING  MOUNTAIN HOUSE, CA 95391 US
Tel: 209-839-8755  Fax: 209-839-8754

Contact information for business:
561 WICKLUND CROSSING  MOUNTAIN HOUSE, CA 95391 US
Tel: 209-839-8755  Fax: 209-839-8754

Registration Information:
NPI: 1184705105
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA49643

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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