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Individual

ELENA GRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DA

Contact information

Practice address
4305 TORRANCE BLVD STE 505, TORRANCE, CA 90503-4496
(310) 933-6650
(855) 808-4551
Mailing address
4305 TORRANCE BLVD STE 505, TORRANCE, CA 90503-4496
(310) 933-6650
(855) 808-4551

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
33289
CA

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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