Individual
ELIZABETH HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 571-3682
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 571-3682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57761
CA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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