Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 4490733 | CA |
NPI | 1215161609 |
---|---|
Provider Name | Ms. Maria F Huanosto |
First Address | Torrance, CA 90505-2408 |
Second Address | Torrance, CA 90505-2408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 13/05/2009 |