Individual
MRS. MARIA CARMEN MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
9231 BRYSON AVE, SOUTH GATE, CA 90280-5041
(323) 569-1032
Mailing address
9231 BRYSON AVE, SOUTH GATE, CA 90280-5041
(323) 569-1032
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
63486
CA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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