Individual
ANGELICA NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
78995 HIGHWAY 111 STE 3, LA QUINTA, CA 92253-2397
(760) 771-8887
(760) 867-2603
Mailing address
78995 HIGHWAY 111 STE 3, LA QUINTA, CA 92253-2397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60200
CA
Other
Enumeration date
03/30/2011
Last updated
02/19/2021
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