Individual provider · NPI-1
Sheila Therese Aquino Amisola, DMD
Dentist, General Practice · Pomona, CA
NPI number1609949635
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1609949635
- Entity type
- Individual (NPI-1)
- Name
- Sheila Therese Aquino Amisola
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2006
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50723 | CA | Yes |
Practice location
1021 E Holt AvePomona, CA 91767-5720
Phone 909-979-4779 · Fax 909-622-0400
Mailing address
19823 Vista Grande Dr.Chino Hills, CA 91709
Phone 909-979-4779
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