Provider Demographics
NPI:1831390293
Name:MOLINA, SONIA (DMD,MPH)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:MOLINA
Suffix:
Gender:F
Credentials:DMD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8207 3RD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3730
Mailing Address - Country:US
Mailing Address - Phone:562-904-1807
Mailing Address - Fax:562-904-2119
Practice Address - Street 1:8207 3RD ST STE 103
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3730
Practice Address - Country:US
Practice Address - Phone:562-904-1807
Practice Address - Fax:562-904-2119
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA380931223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics