Individual
AQEELA ATHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 365-8086
Mailing address
1600 SAN FERNANDO RD, SAN FERNANDO, CA 91340-3115
(818) 365-8086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19907
CA
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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