Individual
MISS GUADALUPE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
3103 ABBOTT ST APT 3, POMONA, CA 91767-1454
(909) 729-8309
Mailing address
3103 ABBOTT ST APT 3, POMONA, CA 91767-1454
(909) 729-8309
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
74252
CA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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