Individual
MRS. DANIELLE J PUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
41137 13TH ST W, PALMDALE, CA 93551-2117
(661) 878-4239
Mailing address
41137 13TH ST W, PALMDALE, CA 93551-2117
(661) 878-4239
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
71919
CA
Other
Enumeration date
05/24/2015
Last updated
05/24/2015
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