Individual
ALICIA HUIZAR QUIDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1835 XIMENO AVE, LONG BEACH, CA 90815-2850
(562) 453-3409
Mailing address
1835 XIMENO AVE, LONG BEACH, CA 90815-2850
(562) 453-3409
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA37294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA37294
—
CA
Enumeration date
03/04/2018
Last updated
03/04/2018
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