Individual
LETICIA ISABEL ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 520448, CAMP PENDLETON, CA 92055
(760) 725-7704
Mailing address
PO BOX 555221, CAMP PENDLETON, CA 92055-5221
(760) 725-7704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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