Individual
MRS. SELINA MARIE ARMENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
17529 BURL HOLLOW DR, RIVERSIDE, CA 92504-8847
(310) 924-0956
Mailing address
17529 BURL HOLLOW DR, RIVERSIDE, CA 92504-8847
(310) 924-0956
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 94
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP 94
DENTAL CAL
CA
Enumeration date
03/15/2011
Last updated
08/26/2019
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