Individual
MS. CLAUDIA BERENICE PASCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
170 INNER LOOP ROAD, FORT IRWIN, CA 92310
(719) 526-5537
Mailing address
170 INNER LOOP ROAD, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
29674
CA
Other
Enumeration date
04/24/2018
Last updated
12/31/2018
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