Individual
MICHELLE MARIE CLAUSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 RIO RANCHO RD, SUITE 120, POMONA, CA 91766-7015
(909) 766-1922
Mailing address
361 WELLESLEY DR, APT. 102, CORONA, CA 92879-5911
(909) 631-5986
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
84011
CA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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