Individual
DENICE CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 E ONTARIO AVE, CORONA, CA 92881-8653
(951) 547-7484
Mailing address
5668 TROTH ST, MIRA LOMA, CA 91752-2205
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83645
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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