Individual
ROCIO FRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1160 E ONTARIO AVE, CORONA, CA 92881-8653
(951) 531-9504
Mailing address
7950 ETIWANDA AVE APT 31207, RANCHO CUCAMONGA, CA 91739-8730
(909) 358-9989
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA63784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA63784
—
CA
Enumeration date
08/27/2020
Last updated
08/27/2020
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