Individual
YOUDISKI ZEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 N AZUSA AVE STE C, COVINA, CA 91722-1257
(310) 820-9933
Mailing address
1170 GOLDEN SPRINGS DR UNIT A, DIAMOND BAR, CA 91765-4214
(909) 242-6217
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
95067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95067
—
CA
Enumeration date
12/17/2020
Last updated
12/17/2020
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