Individual
FLORIE VANESSA MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10602 CHAPMAN AVE #200, GARDEN GROVE, CA 92840-4700
(714) 638-5990
Mailing address
10602 CHAPMAN AVE #200, GARDEN GROVE, CA 92840-4700
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26181
CA
Other
Enumeration date
09/15/2015
Last updated
08/25/2016
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