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Individual

BETZABEL IRIS ARHELY TOVAR QUINONEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.A

Contact information

Practice address
6541 SAN VINCENTE ST, PARAMOUNT, CA 90723-2938
(562) 529-3576
Mailing address
6541 SAN VINCENTE ST, PARAMOUNT, CA 90723-2938
(562) 529-3576

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
70550
CA

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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