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Individual
GEMMA JAVELLANA
Active
Individual
GEMMA JAVELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52065
CA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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