Individual
MARTHA ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
846 W BONNIE BRAE CT, ONTARIO, CA 91762-1503
(951) 258-6586
Mailing address
846 W BONNIE BRAE CT, ONTARIO, CA 91762-1503
(951) 258-6586
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25332
CA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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