Individual
MS. EDELYN MAE FELISARIO COLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 LA SIERRA AVE, SUITE 108, RIVERSIDE, CA 92503-5271
(951) 354-9999
(951) 354-6666
Mailing address
3380 LA SIERRA AVE.,, SUITE 108, RIVERSIDE, CA 92503
(951) 354-9999
(951) 354-6666
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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