BALTAZAR MENDOZA

BUENA PARK, CA
NPI1942531447
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: CA  68051)
Enumeration Date2010-01-22
Last Update Date2010-01-22
Business Address
-- BALTAZAR MENDOZA R.D.A
7691 EL CHACO DRIVE
BUENA PARK, CA 90620
Phone number: 562-912-8307
Mailing Address
-- BALTAZAR MENDOZA R.D.A
7691 EL CHACO DR
BUENA PARK, CA 90620-1807
Phone number: 562-912-8307