Individual
ALYSSA CARMEN YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1009 N H ST STE P, LOMPOC, CA 93436-8141
(805) 214-4532
Mailing address
1009 N H ST STE P, LOMPOC, CA 93436-8141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106805
DENTAL LICENSE
CA
Enumeration date
08/06/2021
Last updated
08/06/2021
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