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Organization
JESSICA JONES LLC
Active
Organization
JESSICA JONES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANN JONES (PRESIDENT)
(310) 970-4046
Entity
Organization
Contact information
Practice address
913 MICHIGAN AVE, SANTA MONICA, CA 90404-4309
(310) 970-4046
Mailing address
913 MICHIGAN AVE, SANTA MONICA, CA 90404-4309
(310) 970-4046
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
545
CA
Other
Enumeration date
01/19/2018
Last updated
06/20/2018
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