Individual
EVA HURBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
9050 WHITTIER BLVD, PICO RIVERA, CA 90660-2410
(562) 216-1990
Mailing address
12121 WILSHIRE BLVD, SUITE 1111, LOS ANGELES, CA 90025-1123
(310) 409-4265
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
47339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47339
—
CA
Enumeration date
01/20/2017
Last updated
01/20/2017
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