Individual
DELIA ELIZABETH MCCAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 LA SIERRA AVE, RIVERSIDE, CA 92503-5271
(951) 465-6982
Mailing address
3380 LA SIERRA AVE, RIVERSIDE, CA 92503-5271
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
45212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45212
—
CA
Enumeration date
01/26/2020
Last updated
01/26/2020
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