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Contact Information

SAYRA M ANTOLIN
11635 SOUTH ST
ARTESIA, CA90701-6628
 Phone: 562-924-4401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for SAYRA M ANTOLIN · (Female)

NPI # 1891301909
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2020
Last updated 09/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 93134
  • CA Medicaid 93134
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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