Individual
CLARICE LII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 HURLBUT ST UNIT 104, PASADENA, CA 91105-3165
(626) 625-3261
Mailing address
125 HURLBUT ST UNIT 104, PASADENA, CA 91105-3165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS109653
CA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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