Individual
AMY VICTORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601-2228
(510) 535-4450
(510) 535-4494
Mailing address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601-2228
(510) 535-4450
(510) 535-4494
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
76976
CA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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