Individual
MARIA GUADALUPE VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21229 HAWTHORNE BLVD, TORRANCE, CA 90503-5501
(310) 904-6706
Mailing address
715 W 148TH DR, GARDENA, CA 90247-2721
(310) 465-8371
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA65507
CA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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