Individual
ELIZABETH MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
14339 CLARK ST, APT 4, BALDWIN PARK, CA 91706-3224
(626) 225-1907
Mailing address
14339 CLARK ST, APT 4, BALDWIN PARK, CA 91706-3224
(626) 225-1907
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA92311
—
CA
Enumeration date
02/12/2019
Last updated
02/12/2019
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