Individual
MS. JALEH JASMIN GANDJEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
18210 SHERMAN WAY, SUITE# 207, RESEDA, CA 91335-4554
(818) 344-1121
(818) 344-1131
Mailing address
21157 LASSEN ST, UNIT # 2, CHATSWORTH, CA 91311-6813
(818) 344-1121
(818) 344-1131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 25
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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