BETHANY ICEL ANTONIO LAURIA

HAWTHORNE, CA
NPI1447881875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  RDH-31592)
Enumeration Date2020-02-04
Last Update Date2020-02-04
Business Address
BETHANY ICEL ANTONIO LAURIA RDH
13450 S. HAWTHORNE BLVD
HAWTHORNE, CA 90250-5806
Phone number: 310-679-0106
Mailing Address
BETHANY ICEL ANTONIO LAURIA RDH
13450 S. HAWTHORNE BLVD
HAWTHORNE, CA 90250-5806
Phone number: 310-679-0106
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