Individual
ANNA MARIE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 XIMENO AVE, LONG BEACH, CA 90815-2850
(562) 453-3409
Mailing address
13904 RAMHURST DR APT 11, LA MIRADA, CA 90638-1729
(562) 324-7306
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
58250
CA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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