Individual
JENNIFER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8832 DAKOTA AVE, GARDEN GROVE, CA 92844-2016
(714) 261-7889
Mailing address
8832 DAKOTA AVE, GARDEN GROVE, CA 92844
(714) 261-7889
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28608
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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