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1972097483
SANDRA MICHELLE HENRIQUEZ
LOS ANGELES, CA
NPI
1972097483
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Professional Name
SANDRA MICHELLE HENRIQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 698)
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
SANDRA MICHELLE HENRIQUEZ RDHAP
3163 IVY ST
LOS ANGELES, CA 90034-3212
Phone number: 310-694-7421
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Mailing Address
SANDRA MICHELLE HENRIQUEZ RDHAP
3163 IVY ST
LOS ANGELES, CA 90034-3212
Phone number: 310-694-7421
Copy
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