Individual
MRS. ELSIE M QUICHOCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1001 S SEASIDE AVE BLDG 23, SAN PEDRO, CA 90731-7333
(310) 732-7500
Mailing address
3824 S FLOWER ST APT C, SANTA ANA, CA 92707-4708
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0006924
WA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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