Individual
ERICKA GABRIELA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
763 RIO RANCHO RD STE 120, POMONA, CA 91766-7015
(909) 766-1922
Mailing address
4231 EVART ST APT C, MONTCLAIR, CA 91763-3518
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
79582
CA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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