Individual
MARIA E CALLEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
38991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38991
—
CA
Enumeration date
06/01/2018
Last updated
06/01/2018
Update your record
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