Individual
MISS GRACIELA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
16135 SIERRA LAKES PKWY, FONTANA, CA 92336-1248
(909) 356-2006
Mailing address
2177 W WASHINGTON AVE, SAN BERNARDINO, CA 92411-1051
(951) 203-5414
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23478
CA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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