Individual
KAREN SOCORRO PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
16546 CADENCE LN, FONTANA, CA 92336-1489
(909) 615-8737
Mailing address
16546 CADENCE LN, FONTANA, CA 92336-1489
(909) 615-8737
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
679
CA
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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