Individual
JOSEPHINE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
848 2ND ST, ENCINITAS, CA 92024-4408
(702) 355-1021
Mailing address
804 REGAL RD APT 5L, ENCINITAS, CA 92024-4630
(702) 355-1021
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
29762
CA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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