Individual
MISS CHIMERA CHARMAINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
3630 CENTRAL AVE STE 6, RIVERSIDE, CA 92506-5903
(951) 335-0466
Mailing address
26347 FIELD ST, MORENO VALLEY, CA 92555-2549
(951) 522-8797
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25793
CA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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