Individual
DR. AIDA MIRASOL GUADALUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1794 WHIPPLE RD, UNION CITY, CA 94587-1927
(510) 324-4002
(510) 324-4024
Mailing address
1794 WHIPPLE RD, UNION CITY, CA 94587-1927
(510) 324-4002
(510) 324-4024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
40825
CA
1223G0001X
General Practice Dentistry
Primary
40825
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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