Individual
MRS. MARY JANE DE LEON SALAPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA58343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA58343
—
CA
Enumeration date
04/27/2018
Last updated
04/27/2018
Update your record
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