# DENTAL HYGIENE PRACTICE OF ANNETTE LEDEZMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881141984
- **Authorized official:** MRS. ANNETTE LEDEZMA (REGISTERED DENTAL HYGIENIST)
- **Authorized official phone:** (323) 812-0422

## Contact information

- **Practice address:** 676 PECKHAM DR, WHITTIER, CA 90601-1063
- **Practice address phone:** (323) 812-0422
- **Mailing address:** 676 PECKHAM DR, WHITTIER, CA 90601-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 23278 | CA | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016