Individual
LISA FUCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
11212 CORTE PLAYA AZTECA, SAN DIEGO, CA 92124-4135
(412) 979-7487
Mailing address
11212 CORTE PLAYA AZTECA, SAN DIEGO, CA 92124-4135
(412) 979-7487
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP849
CA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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