Individual
DR. JINA C ANNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D, MSD
Contact information
Practice address
2190 E BIDWELL ST, FOLSOM, CA 95630-6453
(916) 984-0304
Mailing address
9220 SILVERWOOD CT, GRANITE BAY, CA 95746-7242
(916) 337-4059
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38486
CA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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