Individual
MARIA GUADALUPE SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DENTAL A.
Contact information
Practice address
3380 LA SIERRA AVE, RIVERSIDE, CA 92503-5271
(951) 465-6982
Mailing address
22675 STROHM DR, PERRIS, CA 92570-1649
(714) 984-7938
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
75275
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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