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Individual

DR. LEIZA YAMILA WALIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
15160 KENSINGTON PARK DR STE 610, TUSTIN, CA 92782
(714) 294-0907
Mailing address
427 PORTER ST APT 1, GLENDALE, CA 91205-5077
(818) 261-3563

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
059183
NY
1223E0200X
Endodontics
Primary
101937
CA

Other

Enumeration date
07/13/2016
Last updated
10/08/2019
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