Individual
RENEE REGINA PIMENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
12121 WILSHIRE BLVD., STE. 1111, LOS ANGELES, CA 90025
(310) 409-4268
Mailing address
2335 RAMONA AVE, SAN BERNARDINO, CA 92411-1224
(909) 800-4641
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
34908
CA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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