Individual
MARTA LIDIA GARCIA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4568 W 145TH ST, LAWNDALE, CA 90260-1317
(310) 897-6985
Mailing address
4568 W 145TH ST, LAWNDALE, CA 90260-1317
(310) 897-6985
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
72203
CA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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