Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | CA |
NPI | 1083851166 |
---|---|
Provider Name | Saira Perez |
First Address | Baldwin Park, CA 91706-4208 |
Second Address | Baldwin Park, CA 91706-3163 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2009 |
Last Update Date | 12/01/2009 |