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Individual

DR. DAISY BATHAN COYOCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
5051 CANYON CREST DR, SUITE # 103, RIVERSIDE, CA 92507-6035
(951) 788-0858
(951) 367-0960
Mailing address
5051 CANYON CREST DR, SUITE # 103, RIVERSIDE, CA 92507-6035
(951) 788-0858
(951) 367-0960

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39951
CA

Other

Enumeration date
03/02/2006
Last updated
01/28/2008
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