Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 55453 | CA |
NPI | 1124320510 |
---|---|
Provider Name | Mrs. Arcelia Caldera |
First Address | Baldwin Park, CA 91706-3163 |
Second Address | Baldwin Park, CA 91706-3163 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2010 |
Last Update Date | 17/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15719 | 55453 (01) |