Individual
CAROLYN WAHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5464 SOUTH ST, LAKEWOOD, CA 90712-1354
(714) 883-0348
Mailing address
13905 VISIONS DR, LA MIRADA, CA 90638-6563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61905
CA
Other
Enumeration date
12/04/2012
Last updated
02/13/2013
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