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Individual

DR. EDILTRODITO PAEZ QUIANZON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13193 CENTRAL AVE, SUITE 100, CHINO, CA 91710-3522
(909) 464-9675
(909) 590-3898
Mailing address
13193 CENTRAL AVE, SUITE 100, CHINO, CA 91710-3522
(909) 464-9675
(909) 590-3898

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C51122
CA

Other

Enumeration date
09/16/2006
Last updated
07/09/2007
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