Individual
AINAZ ROUHANINIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5771 PINE AVE, CHINO HILLS, CA 91709-6529
(909) 597-2477
Mailing address
3130 FLORINDA ST, POMONA, CA 91767-1014
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32420
LICENSE
CA
Enumeration date
07/09/2021
Last updated
07/09/2021
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