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LILIA ANA CORONA RDA

>> Dental Assistant >> Dental Providers

Registrant NPI Number: 1821235995

Individual Registrant:
 LILIA ANA CORONA RDA
Gender: F
Sole Proprietor

Location and contact information for practice:
4149 TWEEDY BLVD #J SOUTH GATE, CA 90280-6167 US
Tel: 323-567-3333  Fax: --

Contact information for business:
11984 OLD RIVER SCHOOL RD APT. 7 DOWNEY, CA 90242-2162 US
Tel: 562-927-2143  Fax: --

Registration Information:
NPI: 1821235995
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant
CA44619

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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