Organization
DELIVERING SMILES DENTAL HYGIENE PRACTICE OF JACQUELINE GONZALEZ QUIRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GONZALEZ-QUIROZ (RDHAP)
(626) 804-3639
Entity
Organization
Contact information
Practice address
1050 LAKES DR STE 225, WEST COVINA, CA 91790-2910
(626) 804-3639
Mailing address
1050 LAKES DR STE 225, WEST COVINA, CA 91790-2910
(626) 804-3639
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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