Individual
VICTORIA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
580 MAPLE AVE, SUNNYVALE, CA 94085-3708
(408) 393-4711
Mailing address
580 MAPLE AVE, SUNNYVALE, CA 94085-0000
(408) 393-4711
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
72133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72133
DENTAL PROVIDERC
CA
Enumeration date
11/14/2013
Last updated
11/14/2013
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