Individual
MISS MARY ANNE VARGAS DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3565 LINDEN AVE., 220, LONG BEACH, CA 90807
(562) 426-6803
Mailing address
3565 LINDEN AVE, 220, LONG BEACH, CA 90807-4538
(562) 426-6803
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
64695
CA
Other
Enumeration date
01/15/2009
Last updated
01/23/2009
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