Individual
MAURICIO PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA III
Contact information
Practice address
9050 WHITTIER BLVD, PICO RIVERA, CA 90660-2410
(562) 456-1111
Mailing address
6007 3/4 TEMPLE CITY BLVD, TEMPLE CITY, CA 91780-2013
(562) 704-8416
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA86217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA86217
—
CA
Enumeration date
09/07/2017
Last updated
09/07/2017
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