Individual
MARIA BRIONES BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 SEPULVEDA BLVD, TORRANCE, CA 90505-2408
(310) 773-9781
Mailing address
21830 NEPTUNE AVE, CARSON, CA 90745-3121
(310) 878-7044
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA71488
CA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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