Individual
ANGELICA JUAREZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 N IMPERIAL AVE, EL CENTRO, CA 92243-1314
(760) 679-5048
Mailing address
2140 N 10TH ST APT 5, EL CENTRO, CA 92243-4396
(442) 258-4031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103527
CA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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