Individual
JOANNA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 LA SIERRA AVE STE 108, RIVERSIDE, CA 92503-5225
(951) 465-6982
Mailing address
3380 LA SIERRA AVE STE 108, RIVERSIDE, CA 92503-5225
(951) 465-6982
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92560
CA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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