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Individual

SONIA TELLEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDA

Contact information

Practice address
15350 NORDHOFF ST UNIT A, NORTH HILLS, CA 91343-2234
(818) 724-8416
Mailing address
16124 PLUMMER ST, NORTH HILLS, CA 91343-2068
(818) 742-8188

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83486
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83486
CA
Enumeration date
06/07/2017
Last updated
06/07/2017
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