Gricelda Peralta, R.D.H, R.D.H.A.P.

NPI #1124349311 in Playa Del Rey, California

Provider Information

NPI Number: 1124349311
Entity Type: Individual
Name: Gricelda Peralta, R.D.H, R.D.H.A.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: R.D.H, R.D.H.A.P.
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 322 CULVER BLVD
Address 2: SUITE 187
City: Playa Del Rey
State: California
ZIP Code: 90293-7704
Phone: (310) 779-9712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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