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Individual
YOLANDA S CERVANTES
Active
Individual
YOLANDA S CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
632697
UNITED CONCORDIA
PA
01
—
701465
CDHP
CA
01
—
G90616
DENTICAL
CA
Enumeration date
05/13/2008
Last updated
05/13/2008
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