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SAYRA MARIA ANTOLIN
>> Dental Assistant >> Dental ProvidersRegistrant NPI Number: 1891301909
Individual Registrant: SAYRA MARIA ANTOLIN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
11635 SOUTH ST ARTESIA, CA 90701-6628 US
Tel: 562-924-4401 Fax: --
Tel: 562-924-4401 Fax: --
Contact information for business:
1303 VIA SANTIAGO UNIT C CORONA, CA 92882-3828 US
Tel: 714-395-3451 Fax: --
Tel: 714-395-3451 Fax: --
Registration Information:
NPI: 1891301909
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 126800000X | Dental Providers Dental Assistant | CA | 93134 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 93134 | CA | 05 |
