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Individual

LIRA BUMANLAG SORIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 214-3713
Mailing address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
85494
CA

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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