Alidiuska Estopinan Marzo
Dentist in Lake Elsinore, CA. Individual provider (NPI-1).
NPI number1033832142
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1033832142
- Entity type
- Individual (NPI-1)
- Name
- Alidiuska Estopinan Marzo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2022
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 108124 | CA | Yes |
Practice location
141 N Main StLake Elsinore, CA 92530-4118
Phone 951-245-5003
Mailing address
8545 Sandhill DrRiverside, CA 92508-2934
Phone 951-258-7018
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All 29 Dentist providers in Lake Elsinore · All 1,060 providers in Lake Elsinore
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