Individual
CHRISTINA DORANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10982 WEYBRIDGE DR, RANCHO CUCAMONGA, CA 91730-6837
(626) 324-7664
Mailing address
10982 WEYBRIDGE DR, RANCHO CUCAMONGA, CA 91730-6837
(626) 324-7664
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
79011
CA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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