Individual
MRS. JUANITA CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
12121 WILSHIRE BLVD, LOS ANGELES, CA 90025-1123
(310) 525-0172
Mailing address
25285 PINE CREEK LN, WILMINGTON, CA 90744-1863
(310) 525-0172
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
62270
CA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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