Individual
DIANA G TIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
4467 AVENIDA DE LAS FLORES, YORBA LINDA, CA 92886-2952
(714) 779-9171
Mailing address
4467 AVENIDA DE LAS FLORES, YORBA LINDA, CA 92886-2952
(714) 779-9171
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
352
CA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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