Ethel Cortez Mijares, Dental Assistant
Dental Assistant in Fort Irwin, CA. Individual provider (NPI-1).
NPI number1982117180
StatusActive
Last updated in NPPESNov 9, 2017
Details
- NPI
- 1982117180
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ethel Cortez Mijares
- Credential
- Dental Assistant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2017
- Last updated
- Nov 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | – | – | Yes |
Practice location
Bldg 171, 4th & Inner Loop RoadFort Irwin, CA 92310
Phone 719-526-5537
Mailing address
Bldg 171, 4th & Inner Loop RoadFort Irwin, CA 92310
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All 34 Dental Assistant providers in Fort Irwin · All 281 providers in Fort Irwin
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