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SAYRA MARIA ANTOLIN

>> Dental Assistant >> Dental Providers

Registrant NPI Number: 1891301909

Individual Registrant:
 SAYRA MARIA ANTOLIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11635 SOUTH ST  ARTESIA, CA 90701-6628 US
Tel: 562-924-4401  Fax: --

Contact information for business:
1303 VIA SANTIAGO UNIT C  CORONA, CA 92882-3828 US
Tel: 714-395-3451  Fax: --

Registration Information:
NPI: 1891301909
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant
CA93134

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
93134CA05




HEALTH CARE JOBS CA - Page 1



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