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LETICIA ISABEL ALCANTAR
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1386243327
Individual Registrant: LETICIA ISABEL ALCANTAR
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
BLDG 520448 CAMP PENDLETON, CA 92055 US
Tel: 760-725-7704 Fax: --
Tel: 760-725-7704 Fax: --
Contact information for business:
PO BOX 555221 CAMP PENDLETON, CA 92055-5221 US
Tel: 760-725-7704 Fax: --
Tel: 760-725-7704 Fax: --
Registration Information:
NPI: 1386243327
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
