Individual
ARIEL CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21229 HAWTHORNE BLVD, TORRANCE, CA 90503-5501
(310) 792-5600
(310) 792-5628
Mailing address
623 MAR VISTA AVE, WILMINGTON, CA 90744-4940
(310) 549-1826
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
2815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2815
DENTAL ASSISTANT
CA
Enumeration date
01/27/2009
Last updated
01/27/2009
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