Individual
ODETH YADIRA COLOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7444 SEINE AVE, HIGHLAND, CA 92346-6528
(626) 820-3351
Mailing address
7444 SEINE AVE, HIGHLAND, CA 92346-6528
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92529
CA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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