Stella Michele Labellarte-Guerrero, X-Ray Technician
Dental Laboratory in Santa Ana, CA. Individual provider (NPI-1).
NPI number1164095485
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1164095485
- Entity type
- Individual (NPI-1)
- Name
- Stella Michele Labellarte-Guerrero
- Credential
- X-Ray Technician
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2021
- Certification date
- Jul 23, 2021
- Last updated
- Jul 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 292200000X | Dental Laboratory | RHP00089307 | CA | Yes |
| 126900000X | Dental Laboratory Technician | RHP00089307 | CA |
Practice location
720 N Tustin Ave Ste 204Santa Ana, CA 92705-3606
Phone 714-835-7260
Mailing address
720 N Tustin Ave Ste 204Santa Ana, CA 92705-3606
Phone 714-835-7260
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