Individual
YVETTE EGUILOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13013 WOODRIDGE AVE, LA MIRADA, CA 90638-1754
(562) 879-5713
Mailing address
13013 WOODRIDGE AVE, LA MIRADA, CA 90638-1754
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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