Bethany Icel Antonio Lauria, RDH
NPI #1447881875 in Hawthorne, California
Provider Information
- NPI Number
- 1447881875
- Entity Type
- Individual
- Name
- Bethany Icel Antonio Lauria, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Feb 4, 2020
- Last Updated
- Feb 4, 2020
Practice Location
- Address
- 13450 S. HAWTHORNE BLVD
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-5806
- Phone
- (310) 679-0106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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