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Individual

MARIA DE LA CERDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3602 6TH AVE STE 104, TACOMA, WA 98406-5450
(253) 777-4461
(253) 752-0220
Mailing address
3602 6TH AVE STE 104, TACOMA, WA 98406-5450
(253) 777-4461
(253) 752-0220

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D1 60465005
WA

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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