Individual
IRIS MICHELLE CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
Mailing address
706 1/2 BURGER AVE, LOS ANGELES, CA 90022-2694
(323) 527-2886
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA98901
CA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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