Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Erica Berenice Licea, RDAORTHOASSISTANT

Individual provider Dental Assistant · NPI 1376002287

MS. Erica Berenice Licea, RDAORTHOASSISTANT is a Dental Assistant in Rialto, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1342 W La Gloria Dr
Rialto, CA 92377-4466
Phone: (951) 465-9162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 66604 (CA)

Record details

NPI number1376002287
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDAORTHOASSISTANT
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESMarch 19, 2019

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