Individual
BRITTANY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16475 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336-1259
(909) 357-0869
Mailing address
729 W SPRUCE ST, ONTARIO, CA 91762-6310
(323) 896-5449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107744
CA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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