Individual
MISS ESTELA RAMIREZ-COTONIETO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA 58449
Contact information
Practice address
1406 N AZUSA AVE STE C, COVINA, CA 91722-1257
(626) 506-2216
Mailing address
3815 BALDWIN AVE APT 96, EL MONTE, CA 91731-1736
(626) 825-0465
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
58449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58449
—
CA
Enumeration date
07/21/2018
Last updated
07/21/2018
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