Individual
AARON MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
715 E BIRCH ST STE A, BREA, CA 92821-5704
(714) 790-6612
Mailing address
15631 FOSTER RD, LA MIRADA, CA 90638-3117
(562) 324-8720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106189
CA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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