Individual
MRS. ILIANA YANET ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA REGISTERED DENTA
Contact information
Practice address
455 E. COLUMBIA ST., SUITE 32, LONG BEACH, CA 90806-1620
(562) 933-3141
(562) 933-2049
Mailing address
455 E. COLUMBIA ST., SUITE 32, LONG BEACH, CA 90806-1620
(562) 933-3141
(562) 933-2049
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
55579
CA
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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