Individual
ANNIE SCHANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 E ONTARIO AVE, CORONA, CA 92881-8653
(951) 547-7484
Mailing address
1160 E ONTARIO AVE, CORONA, CA 92881-8653
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
47165
CA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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