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Organization
LAURA KIRKLAND
Active
Organization
LAURA KIRKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA KIRKLAND RDHAP (DENTAL HYGIENIST ALTERNATIVE PRACTI)
(310) 733-7735
Entity
Organization
Contact information
Practice address
984 MONUMENT DRIVE, 207, PACIFIC PALISADES, CA 90272
(310) 733-7735
Mailing address
PO BOX 1212, PACIFIC PALISADES, CA 90272
(310) 733-7735
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
125J00000X
Dental Therapist
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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