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NPI 1538765722

IndividualActive

Ada Martin, RDA94017

NPI 1538765722 · Dental Assistant · West Covina, CA

Provider details

NPI number: 1538765722
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: RDA94017
Sex: Female
Sole proprietor: No
License: RDA94017 (CA)

Practice location

200 N Grand Ave Apt 299

West Covina, CA 91791-1751

Phone: (626) 862-3868

More CA providers

Mailing address

200 N Grand Ave Apt 299

West Covina, CA 91791-1751

Registry dates

Enumerated: 2020-12-11
Last updated: 2020-12-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ada Martin, RDA94017 — NPI 1538765722, West Covina, CA | NPI Central