Individual
JULIETA CASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18528 FALDA AVE, TORRANCE, CA 90504-5020
(310) 422-6965
Mailing address
18528 FALDA AVE, TORRANCE, CA 90504-5020
(310) 422-6965
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
42375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42375
—
CA
Enumeration date
10/25/2019
Last updated
10/25/2019
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