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RACHELE ANGELA MARIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1275 30TH ST, SAN DIEGO, CA 92154-3476
(619) 662-4100
Mailing address
1625 VIA ROSA, BALDWIN PARK, CA 91706-5974
(626) 483-9655

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
102316
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/11/2016
Last updated
05/14/2021
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