Individual
DR. JESSICA VIRIDIANA COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2817 W LOOP 250 N STE B, MIDLAND, TX 79705-3205
(432) 694-4800
Mailing address
17341 ORANGE WAY, FONTANA, CA 92335-3932
(909) 227-9310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36341
TX
Other
Enumeration date
06/24/2020
Last updated
07/30/2020
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