Eliza Zetino
Dental Assistant in Petaluma, CA. Individual provider (NPI-1).
NPI number1164069480
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1164069480
- Entity type
- Individual (NPI-1)
- Name
- Eliza Zetino
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
599 Tomales RdPetaluma, CA 94952-5002
Phone 707-765-7200
Mailing address
2056 Easton DrPetaluma, CA 94952-5261
Phone 661-289-0030
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