Individual
BRANDY HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
9050 WHITTIER BLVD, PICO RIVERA, CA 90660-2410
(562) 456-1111
Mailing address
9050 WHITTIER BLVD, PICO RIVERA, CA 90660-2410
(562) 456-1111
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83982
—
CA
Enumeration date
04/17/2017
Last updated
04/17/2017
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