Individual
DR. CHRISTINA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3287 ASCOT CT, FAIRFIELD, CA 94534-7864
(707) 290-9231
Mailing address
3287 ASCOT CT, FAIRFIELD, CA 94534-7864
(707) 290-9231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62988
CALIFORNIA DENTAL BOARD
CA
Enumeration date
09/28/2013
Last updated
09/28/2013
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