Individual
ADA ESTHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA94017
Contact information
Practice address
200 N GRAND AVE APT 299, WEST COVINA, CA 91791-1751
(626) 862-3868
Mailing address
200 N GRAND AVE APT 299, WEST COVINA, CA 91791-1751
(626) 862-3867
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA94017
CA
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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