Individual
KAITLIN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
29861 SANTA MARGARITA PKWY STE 200, RANCHO SANTA MARGARITA, CA 92688-3624
(714) 709-1900
Mailing address
24011 LINDLEY ST, MISSION VIEJO, CA 92691-3716
(916) 532-4030
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30597
CA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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