Individual
MISS MARISELA B MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H, B.S
Contact information
Practice address
32 LEMON BLOSSOM CT, SAN JOSE, CA 95123-2127
(408) 394-7155
Mailing address
32 LEMON BLOSSOM CT, SAN JOSE, CA 95123
(408) 394-7155
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21806
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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