Individual
WENDY YANETH CRUZ FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14707 TITUS ST APT 7, PANORAMA CITY, CA 91402-4712
(323) 252-7564
Mailing address
14707 TITUS ST APT 7, PANORAMA CITY, CA 91402-4712
(323) 252-7564
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA90013
CA
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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