Individual
MS. MARIA DE LA LUZ CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4200 N LAKEWOOD BLVD, LONG BEACH, CA 90808-1558
(562) 420-1701
Mailing address
11212 FLALLON AVE, NORWALK, CA 90650-1621
(562) 277-5710
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA90299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA90299
—
CA
Enumeration date
02/12/2019
Last updated
02/12/2019
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