Individual
MS. JOANNA JOYCE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.A
Contact information
Practice address
3380 LA SIERRA AVE, RIVERSIDE, CA 92503-5225
(951) 354-9999
Mailing address
3380 LA SIERRA AVE, RIVERSIDE, CA 92503-5225
(951) 354-9999
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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