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Individual

ZAIRA KLARISSE BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
9500 FULLBRIGHT AVE, CHATSWORTH, CA 91311-5326
(818) 442-7380
Mailing address
9500 FULLBRIGHT AVE, CHATSWORTH, CA 91311-5326
(818) 442-7380

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP973
CA

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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