Individual
MS. ANA PATRICIA GIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
21812 ROSCOE BLVD APT 33, CANOGA PARK, CA 91304-3939
(818) 388-5641
Mailing address
21812 ROSCOE BLVD APT 33, CANOGA PARK, CA 91304-3939
(818) 388-5641
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
79112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79112
—
CA
Enumeration date
09/11/2019
Last updated
09/16/2019
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