Most Relevant Information
Provider Data
| NPI Number: | 1003432261 |
| Provider Name: | SONYA PORTILLO RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 33239 |
Most Important Dates
| Enumeration Date: | 06/23/2020 |
| Last Updated: | 06/23/2020 |
Provider Practice Location
6430 BELLINGHAM AVE
NORTH HOLLYWOOD
CA
916061402
Practice Location Phone/Fax
| Phone: | 8189851148 |
| Fax: |
Provider Mailing Location
6430 BELLINGHAM AVE
NORTH HOLLYWOOD
CA
916061402
Provider Mailing Phone/Fax
| Phone: | 8189851148 |
| Fax: |