Individual
MS. LISA RENEE ESMAILZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
43 STREAMWOOD, IRVINE, CA 92620-1937
(949) 394-2281
Mailing address
43 STREAMWOOD, IRVINE, CA 92620-1937
(949) 394-2281
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
16975
CA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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