Individual
MRS. EGLA IVONNE BARAHONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.A
Contact information
Practice address
3820 SEPULVEDA BLVD, TORRANCE, CA 90505-2408
(310) 792-5200
Mailing address
20440 ANZA AVE UNIT 230, TORRANCE, CA 90503-2381
(310) 729-9935
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
2968
CA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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