Individual
GENNEVE FRERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1625 E 4TH ST, LOS ANGELES, CA 90033-4201
(213) 254-7244
Mailing address
7151 TIARA LN, LA PALMA, CA 90623-1157
(928) 897-1982
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26310
CA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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