Individual
NORA I DEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 N STATE ST, HEMET, CA 92543-1473
(951) 652-0056
Mailing address
920 N STATE ST, HEMET, CA 92543-1473
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
90354
CA
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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