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MS. NELLIE M ACEVEDO RDA

>> Dental Assistant >> Dental Providers

Registrant NPI Number: 1659718484

Individual Registrant:
MS. NELLIE M ACEVEDO RDA
Gender: F
Sole Proprietor

Location and contact information for practice:
9910 LONG BEACH BLVD STE A  LYNWOOD, CA 90262-1561 US
Tel: 323-563-8900  Fax: --

Contact information for business:
1121 E TUCKER ST  COMPTON, CA 90221-1282 US
Tel: 323-246-3894  Fax: --

Registration Information:
NPI: 1659718484
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant
CA56812

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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