Individual provider · NPI-1

Mayra Aceves

Dental Assistant · Lynwood, CA

NPI number1629215710
StatusActive
Last updated in NPPESJan 12, 2009

Details

NPI
1629215710
Entity type
Individual (NPI-1)
Name
Mayra Aceves
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2009
Last updated
Jan 12, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant4490699CAYes

Practice location

11144 Carson Dr
Lynwood, CA 90262-2770

Phone 562-272-0000

Mailing address

11144 Carson Dr
Lynwood, CA 90262-2770

Phone 562-272-0000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Assistant providers in Lynwood, CA