Individual
BIANCA PATRICIA NINO-LANATHOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16944 S HIGHLAND AVE STE 400, FONTANA, CA 92336-3467
(909) 275-7179
Mailing address
841 S TERRI ANN DR, WEST COVINA, CA 91791-3238
(909) 614-5909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109404
CA
Other
Enumeration date
06/09/2022
Last updated
09/12/2023
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