Individual
SAVANNAH JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 LA SIERRA AVE STE 108, RIVERSIDE, CA 92503-5225
(424) 209-4684
Mailing address
PO BOX 8351, REDLANDS, CA 92375-1551
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33357
—
CA
Enumeration date
12/07/2020
Last updated
12/07/2020
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