Individual
CANDELARIA S MURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34390 SCOTELLA RD, TEMECULA, CA 92592-9352
(760) 719-4747
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172919088
DOD
—
Enumeration date
10/29/2020
Last updated
10/29/2020
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