Individual
MARYLINE CERENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 FOUR SEASONS CT, SAN JOSE, CA 95131-1971
(408) 644-1902
Mailing address
2317 FOUR SEASONS CT, SAN JOSE, CA 95131-1971
(408) 644-1902
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA 68777
CA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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