Individual
RITA HERRERA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(714) 288-1035
Mailing address
1925 CONTESSA, IRVINE, CA 92620-1736
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27293
CA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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