Individual
MS. HOLLY PUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1215 W WEST COVINA PKWY, WEST COVINA, CA 91790-2946
(626) 962-8911
Mailing address
11660 CHURCH ST APT 296, RANCHO CUCAMONGA, CA 91730-8934
(909) 240-5288
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27009
CA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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