Individual
MRS. GEMMA ATIGA AGUSTINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7154 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(951) 686-3666
Mailing address
11430 VIA LIDO, LOMA LINDA, CA 92354
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH13266
CA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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