Individual
LAUREL JANENE QUARTARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
30035 HAUN RD, MENIFEE, CA 92584-6805
(951) 225-3324
Mailing address
30035 HAUN RD, MENIFEE, CA 92584-6805
(951) 225-3324
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
22755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22755
—
CA
Enumeration date
07/21/2018
Last updated
07/21/2018
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