Individual
CLARA ANISEL MENDEZ BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5708 PIRRONE RD, SALIDA, CA 95368-9313
(206) 543-3888
Mailing address
5708 PIRRONE RD, SALIDA, CA 95368-9313
(209) 543-3888
(209) 543-3833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65013
CA
Other
Enumeration date
08/31/2015
Last updated
01/07/2019
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