Individual
MRS. MICHELLE LYNNE CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4000 LA RICA AVE, BALDWIN PARK, CA 91706-3163
(626) 347-5645
Mailing address
4000 LA RICA AVE, BALDWIN PARK, CA 91706-3163
(626) 347-5645
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
63963
CA
126800000X
Dental Assistant
Primary
RDA63963
CA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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