Individual
LUPE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
970 W 42ND ST, LOS ANGELES, CA 90037-2507
(323) 234-0504
Mailing address
970 W 42ND ST, LOS ANGELES, CA 90037-2507
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
28136
CA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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