Individual
VIRIDIANA PABLO-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11635 SOUTH ST, ARTESIA, CA 90701-6628
(562) 924-4401
Mailing address
125 S MAGNOLIA AVE APT 10, ANAHEIM, CA 92804-2132
(714) 366-0209
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
81824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81824
—
CA
Enumeration date
05/11/2020
Last updated
05/11/2020
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