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Organization
KELLI JUNKER DDS INC
Active
Organization
KELLI JUNKER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI JUNKER DDS (OWNER)
(949) 640-2970
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR STE 708, NEWPORT BEACH, CA 92660-8604
(949) 640-2970
Mailing address
400 NEWPORT CENTER DR STE 708, NEWPORT BEACH, CA 92660-8604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51160
CA
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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