Individual
HEATHER AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 CIRCLE CITY DR, APT. 101, CORONA, CA 92879-5744
(951) 348-2549
Mailing address
1434 CIRCLE CITY DR, APT. 101, CORONA, CA 92879-5744
(951) 348-2549
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
81391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA81391
—
CA
Enumeration date
10/17/2016
Last updated
10/17/2016
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