Individual
MAIDA INTERIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UCSB, SANTA BARBARA, CA 93106-0001
(805) 893-4794
Mailing address
3450 THACHER RD, OJAI, CA 93023-8301
(805) 795-0429
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12743
CA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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