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Organization
SHEILA THERESE AMISOLA DDS. INC
Active
Organization
SHEILA THERESE AMISOLA DDS. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA THERESE AMISOLA DDS (CEO)
(909) 622-0200
Entity
Organization
Contact information
Practice address
1021 E HOLT AVE, POMONA, CA 91767-5720
(909) 622-0200
Mailing address
13823 VISTA GRANDE DR, CHINO HILLS, CA 91709-1397
(909) 979-4779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50723
CA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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