Individual
MRS. NORMA ANGELICA LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
720 MESA CT, UPLAND, CA 91786-4021
(909) 367-0345
Mailing address
720 MESA CT, UPLAND, CA 91786-4021
(909) 367-0345
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
50688
CA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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