NPI 1124583091

Guadalupe Enriquez Pacheco

Practitioner Dental Assistant Rosamond, CA

Practice location

Address: 2601 Dixie St, Rosamond, CA 93560-6027
Phone: (323) 384-6375

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence RDA71318 (CA)

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Registry record

NPI: 1124583091
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2019
Record last updated: 5 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.