Individual
ELAINE FARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
37546 CANYON HILLS DR, YUCAIPA, CA 92399-9510
(909) 790-3504
Mailing address
37546 CANYON HILLS DR, YUCAIPA, CA 92399-9510
(909) 790-3504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43481
CA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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