Individual
JENNY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 1/2 N ARDMORE AVE, LOS ANGELES, CA 90029-2402
(323) 944-9083
Mailing address
1042 1/2 N ARDMORE AVE, LOS ANGELES, CA 90029-2402
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS103553
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/23/2017
Last updated
06/17/2019
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