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Individual
DR. ELVA DOLORES MALDONADO
Active
Individual
DR. ELVA DOLORES MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89973-01
DENTI-CAL
CA
05
—
G89973-01
—
CA
Enumeration date
05/29/2007
Last updated
03/28/2019
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