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LETICIA ISABEL ALCANTAR

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1386243327

Individual Registrant:
 LETICIA ISABEL ALCANTAR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
BLDG 520448  CAMP PENDLETON, CA 92055 US
Tel: 760-725-7704  Fax: --

Contact information for business:
PO BOX 555221  CAMP PENDLETON, CA 92055-5221 US
Tel: 760-725-7704  Fax: --

Registration Information:
NPI: 1386243327
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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