Individual
CARLA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
9910 LONG BEACH BLVD, SUITE A, LYNWOOD, CA 90262-1561
(323) 563-8900
Mailing address
1266 WEST JEFFERSON BLVD., APT 102, LOS ANGELES, CA 90007-2954
(323) 798-2542
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
46339
CA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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