Individual
JONATHAN J PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DA
Contact information
Practice address
3820 SEPULVEDA BLVD, TORRANCE, CA 90505-2408
(310) 792-5200
Mailing address
3624 DELTA AVE, LONG BEACH, CA 90810-2217
(562) 595-8302
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
2875
CA
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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