Individual
SIERRA EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(714) 598-3923
Mailing address
11713 JERRY ST, CERRITOS, CA 90703-7420
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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