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ANGELINE INDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
140 W ONTARIO AVE, SUITE 105, CORONA, CA 92882-5271
(951) 735-4969
(951) 735-8475
Mailing address
PO BOX 3430, FULLERTON, CA 92834-3430
(951) 735-4969
(951) 735-8475

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41736
CA

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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