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MAYRA ACEVES
>> Dental Assistant >> Dental ProvidersRegistrant NPI Number: 1629215710
Individual Registrant: MAYRA ACEVES
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
11144 CARSON DR LYNWOOD, CA 90262-2770 US
Tel: 562-272-0000 Fax: --
Tel: 562-272-0000 Fax: --
Contact information for business:
11144 CARSON DR LYNWOOD, CA 90262-2770 US
Tel: 562-272-0000 Fax: --
Tel: 562-272-0000 Fax: --
Registration Information:
NPI: 1629215710
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 126800000X | Dental Providers Dental Assistant | CA | 4490699 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
