Individual
LESLIE CARINA GALEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
124 N WILLOW AVE, COMPTON, CA 90221
(562) 618-8879
Mailing address
124 N WILLOW AVE, COMPTON, CA 90221
(562) 618-8879
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4481032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4481032
CALIFORNIA DENTAL BOARD
CA
Enumeration date
01/22/2010
Last updated
01/22/2010
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