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Individual

PATRICE H DEMENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
46979
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46979
CA
Enumeration date
09/15/2019
Last updated
09/15/2019
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