Individual
ALICIA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1171 E NOCTA ST, ONTARIO, CA 91764-4341
(909) 510-2059
Mailing address
1171 E NOCTA ST, ONTARIO, CA 91764-4341
(909) 510-2059
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
74355
CA
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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