Individual provider · NPI-1
Fernando Acosta, da
Dental Assistant · No Hills, CA
NPI number1649416918
StatusActive
Last updated in NPPESDec 17, 2008
Details
- NPI
- 1649416918
- Entity type
- Individual (NPI-1)
- Name
- Fernando Acosta
- Credential
- da
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2008
- Last updated
- Dec 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
15350 Nordhoff StNo Hills, CA 91343
Phone 818-672-8228
Mailing address
15350 Nordhoff StNo Hills, CA 91343
Phone 818-672-8228
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