Individual
ALMA DELIA CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.A
Contact information
Practice address
3380 LA SIERRA AVE STE 108, RIVERSIDE, CA 92503-5225
(951) 354-9999
Mailing address
324 LE BORGNE AVE, LA PUENTE, CA 91746-2307
(626) 272-7404
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
08-5808
CA
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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