Individual
SHERI WIDDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDA, RDA
Contact information
Practice address
4711 MOORPARK AVE, 27, MOORPARK, CA 93021-4125
(609) 846-6460
Mailing address
4711 MOORPARK AVE, 27, MOORPARK, CA 93021-4125
(609) 846-6460
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
42174
CA
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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