Individual
ALIS VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(714) 537-0700
(714) 537-0733
Mailing address
1581 W CHANTICLEER RD, ANAHEIM, CA 92802-2110
(714) 868-2984
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
74682
CA
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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