Individual
IVAN PINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDHAP
Contact information
Practice address
14757 HARDING ST, HESPERIA, CA 92345-4817
(760) 553-4548
Mailing address
14757 HARDING ST, HESPERIA, CA 92345-4817
(760) 553-4548
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP826
CA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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