Individual
ROSA M PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 820-9933
(310) 820-0588
Mailing address
20508 ARLINE AVE, LAKEWOOD, CA 90715-1424
(562) 441-2634
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
60761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60761
—
CA
Enumeration date
07/22/2018
Last updated
07/22/2018
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