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Individual
ANNETTE LEDEZMA
Active
Individual
ANNETTE LEDEZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23278
CA
125K00000X
Advanced Practice Dental Therapist
500
CA
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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