Selena Marie Diaz
Dental Assistant in North Hills, CA. Individual provider (NPI-1).
NPI number1639629157
StatusActive
Last updated in NPPESOct 7, 2016
Details
- NPI
- 1639629157
- Entity type
- Individual (NPI-1)
- Name
- Selena Marie Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2016
- Last updated
- Oct 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | 67509 | CA | Yes |
Practice location
15350 Nordhoff St Ste ANorth Hills, CA 91343-2234
Phone 818-672-8228
Mailing address
13837 Runnymede StVan Nuys, CA 91405-1518
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All 21 Dental Assistant providers in North Hills · All 1,008 providers in North Hills
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